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    Your Name

    Lot Number

    Phone Number

    Address

    Cell Number

    Email

    Type of Request (Please Provide Details):

    Painting
    Color to Stay the Same?
    Existing Color of House:
    New Proposed Color of House:
    Brand of paint:
    Color #:
    Color of trim:
    Brand of paint:
    Color #:
    Color of doors:

    Roofing
    Siding
    Driveway/Sidewalk
    Replace Windows/Doors
    Fence
    Dish Antenna
    Repair
    Addition

    Additional detail on work to be done:

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