Land Survey Company - Stake Out Work Order

Customer Information:

Date____________Customer Name__________________________Acct#_____________

Ordered By_______________________________________________________________

Phone #:________________ Fax:__________________ cell #:_______________________

Billing Address (If new customer or new address)_________________________________

Site Information

Property Description: Lot_____Block_____Subdivision_______________________________

Property Address____________________________________________________________

House Plan Information

Previously Staked-Lot_____Block_____Subdivison__________________________________

Faxed...............Being Delivered

Garage:..............Left................Right...........................Basement Wall Height________________

Walkout Basement................................Daylight Windows...................................Walkup (Welled)

Additional Services(Per Price Sheet)

____ ROUGH STAKED for clearing of lot

____ RE-STAKE

____ SHOW SEWER STUB if not required by city

____ DELIVERY (Fee-$10.00)

SCHEDULE MEETING_______________________________________________________

Special Instructions:___________________________________________________________

__________________________________________________________________________

PRELIMINARY DRAWING-Fax drawing to you for your approval before any field work is done.

PHONE: (816)966-0839 FAX: (816)763-1761