Business Name:
Address:
City:
State:
Zip:
Contact:
Phone #:

Directions:

CEILINGS:	CLEANING	RE-COAT	REPLACEMENT	OTHER

	SQ FT:	CEILING HEIGHT:	TYPE/SIZE:	LOCATION/FLOOR TYPE:
VINYL:
ACOUSTICAL:
PAINTED:
WATER STAINS:

AIR DIFFUSERS:

	COLOR:	CEILING HEIGHT:	TYPE/SIZE:	LOCATION/FLOOR TYPE:
VINYL:
ACOUSTICAL:
PAINTED:
WATER STAINS:

EGG CRATES:

	COLOR:	CEILING HEIGHT:	TYPE/SIZE:	LOCATION/FLOOR TYPE:
VINYL:
ACOUSTICAL:
PAINTED:
WATER STAINS:

LIGHT LENSES:

	COLOR:	CEILING HEIGHT:	TYPE/SIZE:	LOCATION/FLOOR TYPE:
CLEANING:
REPLACEMENT:

GRID:	CLEANING	COVER

	AREA:	4FT/QTY	2FT/QTY
CLEANING
REPLACEMENT

WALLS:	CLEANING	RE-WALL PAPER	RE-PAINT

	SQ FT:	CEILING HEIGHT:	TYPE/SIZE:	LOCATION/FLOOR TYPE:
VINYL
PAINTED
VCT
TILE
OTHER

FLOORS:	CLEANING	RE-WALL PAPER	RE-PAINT

	SQ FT:	TYPE:	WORK TO BE DONE:
VINYL
PAINTED
VCT
TILE
OTHER

Entry/Exit Instructions:
( Note: Security Guard, Alarm, or Key Information )