|
' • fit.'•)i , i;), 217 • - ...} ..
<br /> 41Vllar1116 & •
<br /> —
<br /> ORRIN SERVICE .... :.-;:
<br /> p _j p ,._:i^2>li:,)j r ,. ;`37.2:r:'il3• Q;) • 7: -6,._.
<br /> 401.' f:7_I.T L710 :i_C 5(_ , 1..n[_. ;
<br /> R . i i naafi al':v lisj✓'="i;tioii '?t siClierts ( S3Si .,.. %.j7:7i;:5Ga :'i.;'�,; Customer
<br /> QtylLocation/Description Labor Parts Discount Total Accept Decline
<br /> Sink-Faucet&Water Supplies ❑ D • D
<br /> Sink-Drain Lines ❑
<br /> ❑ ❑
<br /> Refrigerator-ice Maker, ❑. `D :D
<br /> Disposer ❑'' ❑ O
<br /> Dishwasher(Wate_r Hammer)' ❑ • • - 0 D
<br /> Water Filter '.:' ;_'.. • a :: :r : -,:r.. _ . .. , -
<br /> tt 1
<br /> Lay-Faucet&Water Supplies( Ct,, 1 ,, is-1.:, (r,rY)va.(. ,r•-,Ji/G¢%; --:';•i..`I' =�r1-a'.- f. ❑ D
<br /> E Lavatory-.Drain Lines `-in (- . / ' 'i / ❑ ❑
<br /> e Shower ❑ f ti%'e� C;. is; ,t. 0 D
<br /> 'Iri= Toilet-Operation ';i� n / ``"/1 �' ❑ 0
<br /> m Drainage (. , t.7.';CA Y'fv s ..9-r %-- / J ij- - .7 r 't✓{ `/ •'7:... . (,) ❑ ❑
<br /> Faucets .. . ❑: % _� ,/�f� -,.-..../.,,-,...t ,. } _6r.�-/ •. •.•/ / = � r .: •rI .,r [I _ El
<br /> -,3 Washer Drains Li ``` D O
<br /> Washing Machine Hoses D 1:'t.t,rt i1U•"17-' -,4 (4P,h/ r,-. I '4 - -1.2 22 0 0
<br /> Water tlammerArrester ❑` ,, '''D' D
<br /> Relief Valves . ❑ 1!' ,:-? I/f)•n.� • /./��"-';�%', • ", f J tc" , 4-'( s ❑ ❑
<br /> w Tankless(Water temperature) ❑ "2 i. n !1.!'t 41 0..� r:,_--z J7:�;:-,, (,r'-- ., I ,. -D ❑•
<br /> z Tank ❑ ,� ;.�., (f . I ; I if a,, ,, '' 1`L.I.°''F' ' f ;.?D ❑
<br /> Boiler Drain El ':ez.C'l< Fi.. Li(a(/ Gr. ••-7, 7e ', 4--)L3/ > --Y + ❑ ❑
<br /> 03
<br /> Ball Valve/Shut-Offs r;;1 l . r+ (-% / - !_ ',.- • l CI
<br /> Water Supply&Piping ='I I-t 1/ , 0-[_•:. _f r c-;. +Y);, -=s i'c %'1)c)';•.•_-; !1 t ;:-/--,_ ---- ❑ D
<br /> -Water Piping.,- . .. , ❑ t,t;Y?-y-'!s L 7› ')0/,'(r r,,+;,) 1. _ y - C • ❑ ❑
<br /> • Shut Off at Water Service C1 ? ❑ ❑
<br /> �� Drain Lines: ,,Il •i) 1 �- i ... ? .- r./ r ❑ D•
<br /> •Pressure Reducing Valve ;:�❑ h .v,='_r)y ;.- :, t.'It:.'dt. _,' ;t '' 0 ❑
<br /> • Water or Sewage on Floor D • _ - _ ` �: f_/ l
<br /> Main Sewer Line ❑ ` i i" _ f
<br /> 0 - "' " 0 ❑
<br /> • m Hose Bibf -r'r'l.):'' /ji i'�t"r- I !J r"�''���. r'+.w (�) ��, _• �y.
<br /> Downsp0ute D l),-/ I?%,_` ;i'/•i i s:t'- r •_
<br /> l "y - I
<br /> (!r r /�)_ f;— ❑ ❑
<br /> Maintenance Products • ❑ ` ' - '-- '.
<br /> ! Clean.a_nd Treat. ❑ ) r . _ .. , ' ❑ .0
<br /> f Whole House Special Oz ,t< ,'-t /.-'�,- -2 r,:rk ,.r'`i /9_ f 1 ❑ ❑
<br /> , Si cJ l: !.' .y .r ❑ ❑
<br /> Other d t. •
<br /> ..
<br /> WORK ORDaR AUcii•IORlZATIO i I authorize the services indicated and agree to pay the amounts specified.I have read
<br /> and agree to the terrhs on.the reverse side,Including the limits.on Roto-Rooters responsibility specified in these terms.r
<br /> ' ( ' � 1 'i IA;:r'; 4 / e •-A ;it ' Total estimate refects customer
<br /> (Signature) : •$' ' '' L'' '-'` -`' (A..; ' '•- '''-.� (Print Name .}- ' . s
<br /> authorization of work as indicated above.
<br /> S T 1„IATE;a.':1D DE CRI•rfic:i 11;:',Illi:MX T s ,w+<;•: ;'•°:Iris_i(the approximate starting date is ,and Tax not included in estimate.
<br /> the approximate completion date is .Neither date Is guaranteed.Unexpected conditions or problems could cause delays. ;rr�;'
<br /> A definite,completion.date is not of the essence.) • , r �•, tabor $
<br /> Parts $
<br /> •(.r' .)) r ', .1 •-• t i v 3/,-t+ - - L-I -
<br /> . `I _. . . Discount $
<br /> ............ Product $
<br /> •
<br /> iDtgiv4f $
<br /> s.'IMF. I s,k_tiD-il,L .'1,:'i: all':... ...-f:> .. . • ;-
<br /> El Cash t7 Check El Credit Card
<br /> CU1:1PLa T ioq I acknowledge completion(of the above described-work which has been done to my complete satisfaction. Auth#
<br /> (Signature)\ , ,}, ' i -- ".,, (Print Na e -
<br /> Control No.
<br /> 3
<br />
|