DE
PM SURVEY
Delaware Elevator
Step 1 of 3 — Site & Customer Info
Surveyor Info
Date
*
Your Name
*
Site & Customer
Customer Name
*
Building / Property Name
Job Address
*
City
*
State
*
—
MD
NJ
PA
NC
SC
FL
DE
VA
Other
Primary Contact at Site
CRM / Contract #
Building Type
Select type...
Apartment
Church
Condo
Hospital
Hotel
Industrial
Mall
Nursing Home
Offices
Parking
Residence
Airport
Restaurant
School
Store
Military
Correctional
Retirement Home
Other
Building Class
Class A
Class B
Class C
Existing Contract
Currently Under Contract?
Yes
No
Unknown
Current Contractor
Current Scope
—
Full Maintenance
Oil & Grease
Inspection Only
Unknown
Expiration
Current Monthly Price
Maintenance History
Regular
Sporadic
None/Unknown
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Overall Site Notes
Submitting Survey...
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