HomeMy WebLinkAboutFSI Consent Form (Tenants)TOWN OF ITHACA
215 N. Tioga Street, Ithaca, N.Y. 14850
www.town.ithaca.ny.us
__________________________________________
Department of Code Enforcement
Phone (607) 273-1783 Fax (607) 273-1704
codes@town.ithaca.ny.us
CONSENT TO ENTER DWELLING UNIT
I, _________________________________, give consent for the Town of Ithaca Code
Enforcement Officer to enter my dwelling with or without me being present. The purpose for
entry is to conduct a required fire safety inspection at the address listed below.
________________________________ _____________________
Signature Date
Property Address: ____________________________ __________________
Unit
Owner Name: ______________________________________________