Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Customer Information
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What is the customer name, billing address, phone number, fax number, email address, or other contact information?
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How did you hear about us?
- Angie's List
- BBB
- Business Solicited
- Coutura
- Dennis
- Dex (yellow)
- Existing
- Falcon Directory
- Friend
- Internet
- Prospectors
- Signs
- Stickers (panel)
- Tri-Lakes Directory
Job Proposal Information
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Scope of Work
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Are there any specific inclusions?
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Are there any specific exclusions?
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Have you offered the customer a verbal amount?
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When is the proposal promised?
General Information
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What is the square footage?
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How many AFCI circuit breakers will be required?
- 1
- 2
- 3
- 4
- 5
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What is the total number of smoke detectors to be added?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
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What is the device color?
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What is the device style?
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What type of wall materials are there?
- Sheetrock
- Concrete
- Lath & Plaster
- Plywood
- Stucco
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What type of wiring methods are existing?
- Romex
- EMT
- Flex
- GRC
- PVC
- Other
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Is the existing service an FPE panel?
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Is there a service change involved? If yes, use the appropriate worksheet.
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When is the work to scheduled to happen?
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General Purpose Photos
Main/Recreation Room
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
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What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
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What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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How many ceiling fans are in this room?
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Are there any ceiling fans in this room?
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Is there any in-floor heat? If yes, provide details.
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Main/Recreation Details
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Main/Recreation Sketch
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Main/Recreation Photos
Bathroom
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
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What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
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What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Are there any heat lights or exhaust fans in this room? If yes, provide details.
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Is there any in-floor heat? If yes, provide details.
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Bathroom Details
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Bathroom Sketch
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Bathroom Photos
Bedroom #1
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Is there any in-floor heat? If yes, provide details.
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What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
-
What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
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What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Are there any ceiling fans in this room?
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Bedroom #1 Details
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Bedroom #1 Sketch
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Bedroom #1 Photos
Bedroom #2
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
-
What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
-
What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Are there any ceiling fans in this room?
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How many ceiling fans are in this room?
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Is there any in-floor heat? If yes, provide details.
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Bedroom #2 Details
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Bedroom #2 Sketch
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Bedroom #2 Photos
Mechanical Room
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
-
What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
-
What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Mechanical Room Details
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Mechanical Room Sketch
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Mechanical Room Photos
Hallway
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What is the total number of receptacles for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
-
What kind of lighting is being used for this room?
- Surface
- Recessed
- Switched Outlet
- Sconce
- Mixed
- Other
-
What is the total number of lights for this room?
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
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Hallway Details
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Hallway Sketch
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Hallway Photos
Outside
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Outside Details
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Outside Sketch
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Outside Photos