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First Name Last Name   Business Name (If Applicable)          
     
City State ZIP Business Phone Personal Phone Email or Fax        
     
Job Type: Job Pay Scale: Paint Coatings Only (or check all that apply)  
Public Works Prevailing Wage Rates Framing / Sheeting
Personal / Residential Fair Wage Rates Drywall / Tape & Mud
Business / Commercial Privately Funded Stucco / Exterior Finish
           
Is This Job A Generally Contracted Job With Many Subcontractors? No Are You Looking For A Rough Cost Estimate For This Job? Yes No
Job To Be Conducted During Normal Business Hours? Yes No Are You Looking For A Detailed Cost Estimate For This Job? Yes No
Job To Be Conducted Outside Normal Business Hours? Yes No Are There Plans And Specs Available? Yes No
Are You Looking For Consultation Regarding this Job? Yes No Is There Any Lead, Asbestos, or Other Hazardous Material(s) On This Job? No      
  If So, Does It Need Removal? Yes No        
Brief Description Of Your Job? Please Provide A Brief Description Of Hazardous Material(s)        
     
     
Is A Specialized Coating Product Required? No (if Yes, Please Give a Brief Description)

Thank You

 
       
* $3 Million Commercial Liability Umbrella Insurance Provided
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