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Your Name: *
Address:
City, ST Zip:
Home Phone: *
Email Address: *
Cell Phone:
Best time:
AMPM
Property Type: Choose Single Family Multi-Family Condo Other
Building size (sq. ft.):
Age:
Bedrooms:
Bathrooms:
Fireplaces:
Basement: Choose Full Part None
Crawlspace: Choose Full Part None
Slab on grade: Choose Full Part None
Utilities: Choose On Off
Furnace type: Choose Electric Gas Oil
Furnace count: Choose 1 2 3 4
Water heater: Choose Electric Gas Oil
Water heater count: Choose 1 2 3 4
Air Conditioning: Choose none 1 2 3 4
Garage(s): Choose none 1 2 3 4
Additional Info:
Reach us by phone: 541-521-0479 or email: inspections541@gmail.com CCB# 154332 OCHI # 278
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