Drainage People

Requester*:  
Tel*:            

Fax:              
E-mail:         

Property Address (street):  
Property Address (City):    
Property Address (State) : 
Property Address (Zip):     

Name of Property Owner:       
Tel: 
Name of Tenant (if other than owner):   
Tel: 

How old is this house? (years)    

Is this property for Sale?  

If yes, what is the agents name & company? 
        Tel: 

Is the Property Sold? 

  If yes, expected closing date? 

Has the house been inspected recently? 

If yes, do you have the report? 

please fax us the relevant portion of the report. If you don? have a report, please describe the problem by answering the following questions:

1. For crawl space drainage:
   
   a.  What is the clearance of the crawl space (between the bottom of the floor joists and ground)? (in feet).
   
   b.  Please describe the problem:
   
   
   

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2. For basement problems:
   a. Is the basement finished or unfinished?  Finished  Unfinished 
   
   b. Do you know the history of the problems? If yes, please describe.
   
   
   c.  Has the basement ever been repaired before? If yes, please describe what & when?
   
   
   

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   For foundation problems:
   a. What type of foundation?  Concrete  Post&Pier 
   b. Please describe the problem:
   
   
   

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   For any other problems, questions or comments, please describe below:

    

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