Title Page
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Office Location:
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Date survey conducted:
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Client:
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Address (incuding postcode):
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Name of PFP representative undertaking survey
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Name of MD representative undertaking survey
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Customer Name:
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Customer contact number(s):
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Customer e-mail address:
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UPRN Number:
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Job Number:
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Any Notification?
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Open Disrepair Claim?
Existing heating system in property
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Existing heating system in property: Gas?
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Please specify
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Boiler location
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Primary heating within kitchen / bathroom
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Do radiators require changing?
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Length of radiator (M)
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Height of radiator (M)
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Single or double?
Kitchen - Construction of floor
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Floor Construction
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Please specify
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Does the floor need to be replaced?
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What is the overall size that needs to be replaced? (SQM)
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Do any floor joists need to be replaced?
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Please provide quantity and sizes.
Construction of ceiling
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Ceiling Construction
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Please specify
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Does the ceiling need to be replaced?
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What is the overall size in (SQM) that needs to be replaced
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Does the ceiling need to be skimmed?
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What is the overall size in (SQM) that needs to be skimmed?
Kitchen Stop tap location
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Location of stop tap
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Is the stop tap functioning correctly?
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Does stop tap need replacing?
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Is a block shut down if required?
Kitchen Dimensions
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Length (M)
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Width (M)
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Height (M)
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Overall SM2 of Kitchen.
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Additional notes:
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Kitchen Size
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Please specify:
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Kitchen Sink
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Up stands
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Kitchen taps
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Please specifiy:
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Fit new CO2 detector?
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New install of electric fan?
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Wall or ceiling?
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Upgrade wall fan?
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Upgrade ceiling fan?
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Renew ceiling light?
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Renew sockets & switches?
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Paint ceiling?
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Strip wallpaper?
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Additional notes / SM2
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Paint walls
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Re-plaster walls
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Additional notes / SM2
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Paint Woodwork?
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Renew skirting board?
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Additional notes / LM
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Renew window board
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Length & Width
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Overall size of new flooring (SM2)
CUSTOMER FIXTURES AND FITTINGS NOT TO BE DISCARDED, CUSTOMER TO REMOVE ALL ITEMS FROM THE KITCHEN.
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Please add any notes regarding fixtures / fittings of customers, and what has been agreed.
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All agreed variations at survey stage to be recorded below.
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PFP, signature
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Mdgroup, signature