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INSPECTION SERVICE ORDER FORM
Inspection Time: Inspection Date:
9:00am 1:00pm 5:00pm 1 2 3 4 5 6 7 8 9 10 11 12 / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
NOTE: Your Whole House, Inc. cannot guarantee the time and date chosen will be available. We will make every attempt to meet your schedule, however appointments are first come first served and it may be difficult to meet the seller's schedule.
Vacant Occupied Water supply Public Water supply Private Sewage Public Sewage Private
Water supply ON Water supply OFF Electric supply ON Electric supply OFF Gas supply ON Gas supply OFF
NOTE: Your Whole House, Inc. will handle all of your scheduling for you if you provide the Real Estate Professionals information.
Please make sure to select the services you want or Not applicable in every field below.
Condo Town style $225.00 Condo Apartment style $200.00 Not Applicable House upto 3,000 sq.ft. $300.00 House 3,000+ sq.ft. $350.00 House 4,000+ sq.ft. $400.00 House 5,000+ sq.ft. $450.00 House 6,000+ sq.ft. $500.00 Not Applicable Upto 60 yrs old 60 yrs. older +$50.00 Detached garage 1 $50.00 Detached garage 2 $100.00 Detached garage 3 $150.00 Not Applicable
Apartment Buildings
2 unit upto 60 yrs $300.00 2 unit 60 yrs or older $350.00 Not Applicable 1 additional unit +$75.00 2 additional units +$150.00 3 additional units +$225.00 4 additional units +$300.00 5 additional units +$375.00 6 additional units +$450.00 7 additional units +$525.00 8 additional units +$600.00 Not Applicable 2 HVAC units +$40.00 3 HVAC units +$60.00 4 HVAC units +$80.00 5 HVAC units +$100.00 6 HVAC units +$120.00 7 HVAC units +$140.00 8 HVAC units +$160.00 9 HVAC units +$180.00 10 HVAC units +$200.00 Not Applicable
Ancillary Services
Termite w/Home inspection $50.00 Termite w/o Home inspection $75.00 Not Applicable Radon test w/Home inspection $125.00 Radon test w/o Home inspection $150.00 Not Applicable Level 0 septic w/Home inspection $100.00 Level 0 septic w/o Home inspection $150.00 Not Applicable
Water Quality Test w/Home inspection $100.00 Water Quality Test w/o Home inspection $150.00 Water Quality and Quantity $165.00 Not Applicable Certification Letters $100.00 Rural Housing Certifications $175.00 Return/re-inspections $100.00 Not Applicable
Do you have any specific concerns or questions?
How did you hear about us?
Referred by ASHI Referred by Agent Referred by Freind or Relative Phone Book Internet search Other
We will contact you for confirmation of services ordered and inspection time.
Payment is due at the time of the inspection. We accept payment of Cash, Check, Visa, Master Card, and American Express.
