PROJECT MANAGER CONTACT

Person requesting survey

Name*

First Last

Email*

Mobile Phone*

Office Phone

Company Name

Company Address

Street Address Address Line 2 City State ZIP Code

CLIENT NAME (BILL TO:)

Same as Project Manager?

Yes

Client Name

First Last

Email

Phone

Company Name

Company Address

Street Address Address Line 2 City State ZIP Code

BUILDING TO BE SURVEYED

Address of Building*

Street Address Building known as (AKA: Empire State Building) City State ZIP Code

Type of Building*

(Select One)

Number of stores?

Number of apartments?

Approximate SQFT to be surveyed?

Is the Building Vacant?

Yes
No

What percentage is occupied?*

(percent)

Do you have a LAND SURVEY?*

Yes
No

Old plans?*

Yes
No

Interior/exterior photos?*

Yes
No

PLEASE UPLOAD LAND SURVEY AT THE BOTTOM OF THE FORM

* If Yes to any of the above you may upload your files at the end of this form.

Are there lights in the building?*

Yes
No

Is the building heated?*

Yes
No

Hazards?*

Yes
No

Please describe hazard:

* If Yes please explain below, e.g. dirty, under construction, toxic, unstable, infested

ADDITIONAL INFORMATION

Services Needed

Do you need... (Select at least one)

Please describe:

How did you find us?*

Return client
Referral
Google
Other internet search
Social media
Advertisement
Other

(specify)

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Comments or additional details?

You may upload your files here:

Drop files here or

To get the lowest price, don't forgot to include legacy documents (i.e. old plans, land surveys, photos, etc.).

Name