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Client Infomation
Full Name:
Date: 09/05/2010
Address:
City: State: Zip:
Phone #:
Home:  
Work:  
Cell:  
Fax:  
Email:
 
Property Information * If different from above
Address:
City: State: Zip:
Property Owner:
Tenant:   *If other than owner
Phone:
Approximate age of home:
Sale Pending:
Yes:  
No:  
 
What is your situation?
What would you like us to look at?
(Mark your selections)
Crawlspace Drainage:
Access to crawlspace:
  Inside
  Closet
  Outside
Describe the problem:
  Not Sure
  Pump Present
  Puddles
  1-3 inches of water
  Flooding
* Please Note: A $75.00 charge is required for crawlspace bids and is refundable if work accepted is over $1,000.00
 
Basement Drainage:
Status:
  Finished
  Unfinished
Describe the problem:
  Not Sure
  Seepage
  Flooding Throughout
  No visible water dampness/odor
  Crack in Foundation
 
Yard Drainage:
Location:
  Front
  Back
  Side
Describe the problem:
  Ponding Water
  Lawn Soggy (Ex. Ruts from lawn mower)
  Just a Mess
 
Structural Repair:
Describe the problem:
  Foundation Settling Problem
  Fungal Decay
  Floor System (Joists, Subfloor, Plates, etc.)
  Wall Damage/Support Posts
  Balcony/Deck
  Bathroom Floor Damage
 
Pipe Camera Inspection/
Jetter Work:
Describe the problem:
  Inspect Sanitary Sewer Pipe(s)
  Inspect Drainage Pipe(s)
  Clean/Rooter Pipe(s)
  Diagnostic Work, Finding the Problem(s)
* Call For Minimum Charges and Hourly Rates regarding this service
 
Other
 
  Water line leak
  Leak Detection
Describe the problem:
 
Bodine Construction Company, Inc. Lynnwood, WA 425-778-2557    Eastside - 425-881-2577 Terms and Conditions