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Customer Information
Inspection or Quote
Inspection or Quote
Inspection
Quote
1.
Name*
Name
2.
Address*
Address
3.
City/State/Zip
City/State/Zip
4.
Home Phone*
Home Phone
5.
Work Phone*
Work Phone
6.
Email*
Email
7.
Property Location
8.
Address*
Address
9.
City/State/Zip*
City/State/Zip
10.
Type of Home or business
What Type of Home or business
Single Family
Multi Unit
Condo
Business
Other
11.
Style & Stories*
Style & Stories
12.
Square Feet*
Square Feet
13.
Age*
Age
14.
Bedrooms
Number of Bedrooms
One
Two
Three
Four
Other
15.
Bathrooms
Number of Bathrooms
One
Two
Three
Four
Other
16.
Fireplaces
Number of Fireplaces
One
Two
Three
Four
Other
17.
Basement
Type of Basement
Full
Part
Slab
None
Other
18.
Crawlspace
Type of Crawlspace
Full
Part
Slab
None
Other
19.
Furnaces
Number of Furnaces and Type of Fuel Used
One
Two
Three
Four
Electric
Gas
Oil
Other
20.
A/C Units
How Many A/C Units
One
Two
Three
Four
Other
21.
Water Heaters
Number of Water Heaters Type of Fuel Used
One
Two
Three
Four
Electric
Gas
Oil
Other
22.
Utilities
Are the Utilities On or Off
On
Off
Other
23.
Garage
Type of Garage Number of Cars:
Attached
Detached
One
Two
Three
Four
Other
24.
Comments, Concerns
Comments, Concerns
25.
Additional Services
Test or Inspect
radon
Well Water
Other
26.
Request Any Additional Services
Request Any Additional Services
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