Name:     

Address:

City:          Location: Portland Metro West Side    Zip Code:

Phone:       E-Mail:   

How Did you hear about us? 
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Flier
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   Is it ok to come by if your not home? Yes No

Services you are interested in (Check all that apply)

Window Cleaning      Roof Cleaning      Gutter Cleaning      Pressure Washing      Holiday Lighting

Window Cleaning

Cleaning Type: Standard Deluxe Construction Clean-Up ?

# of Windows:      Which Windows Internal Exterior Both
# of Screens:  

Would you like a detailed screen and track cleaning:  No Yes

Do you have:      Sliding Doors      Skylights      Storm Windows

Last time they were Professionally Cleaned?    (In Years)

Any Additional Information?

Gutter Cleaning

# of Stories:

Approximate gutter length (in linear feet)        Last Time Cleaned 

Pitch or steep of the roof:  Flat 2/12 3/12 4/12 5/12 6/12 7/12 8/12 9/12 10/12 11/12 12/12   ?      Number of Tiers 

Any Known Clogs?  No Yes

Would you like an estimate for our gutter protection system?  No Yes

Any additional information: 

Roof Cleaning

# of Stories: 

Type:  Composition Wood Tile Metal

Pitch:  Flat 2/12 3/12 4/12 5/12 6/12 7/12 8/12 9/12 10/12 11/12 12/12   ?

General Cleaning Maintenance                           Moss Removal                              Moss Treatment 

Pressure Washing

Concrete Surfaces
Driveway               Front Walk          Sidewalk 

Patios
Front            Material Type  Concrete Wood Composite

Back            Material Type  Concrete Wood Composite

Other:

House Wash (Siding)

Type:  Aluminum Brick Hardi Plank Stone Vinyl Wood             Project type:  Residential Commercial   ?

Number of Stories:          Square Ft of home or Building: 

Screen repair & Replacement

How many window screens?              How Many Sliding Glass Door screens?  ?

Bent Frame: No Yes             Broken Corners?  No Yes             New Screening Material?  No Yes