pat@greatwesternpainting.com    Fax - 413-618-7494   Pat  1 - 877-749-5554  Home Page                                                                             Building Exterior  -  Form Project  Infomation Date                                              Name Company      Email   Phone Office Cell Fax Email Location  Address City     State   Zip Contractors Infomation Name Company      Phone Office Cell Fax Location  Address City     State   Zip Paint Company and Rep Infomation Contact  Name     Company      Email   Phone Office Cell Fax Location  Address City     State   Zip _________________________________________________________________________________________ Building   Height     width     Lenght     Floors                                                                                                                                                        Total  FT.      Balconies     Balconies  Lid  Footage          Hand Rails  FT  Water Blast  Yes    No Sand Blast  -  Normal    White metal    Grind and scrap only     Sand Cost per bag in area of tank  Type of Paint       Primer     Cost per Gal.   Paint - Ft per Gal         Finish      Cost per Gal.   Paint - Ft per Gal                        Not Sure of kind of paint to use                   Lead Abetment Removal   Yes    No    Amount   Comments Lifts  1     2     3   Contact  Name     Company      Phone Office Cell Fax Location  Address City     State   Zip  Lift Price Per Day    Per Week  Per Month   Thanks Blake