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2. Property Owner Name*
3. Property Owner Email Address
5. Parcel ID (if known)
7. Property Address*
9. City*
10. State*
11. Zip Code*
13. Property Owner Phone Number
17. Property Characteristics (Please provide complete details)
19. Number of Full Baths (sink, toilet, tub/shower)*
20. Number of Half Baths (sink, toilet)*
22. Number of Separate Showers (in addition to tub)
23. Number of Extra Sinks (dual sinks in bath, laundry sink, bar sink)
25. Number of Jacuzzi Tubs
27. Number of Bath/Laundry Vent Fans*
29. Number of Bathrooms with Ceramic Floor
31. Date of Last Remodel
32. Number of Bedrooms
34. Number of Fireplaces
36. Type of Heating System*

    1. Forced Air
    2. Hot Water
    3. Electric Baseboard
    4. Electric Wall
    5. Space Heater
    6. Radiant Heat (in-floor)
37. All Features That Apply

    1. Central Air Conditioning
    2. Central Vacuum
    3. Security System
    4. Intercom System
39. Basement Features--Percent Finished*
    -- Select One --0%10%20%30%40%50%60%70%80%90%
41. Additional Basement Details

    1. Walk-out Door
    2. Egress Window
    3. Daylight

43. Thank you for providing the above information! Please click the "Submit" button to finalize your submission. Please call 329-4433 if you have any questions.

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45. 1. Receive an email copy of this form.
46. Email address

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47. Submit

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