Stucco Inspection Order Form
Client Information
* PLEASE NOTE: Name, Address and Phone are required to submit this form.
*Name (first and last) ..*First & Last Name:..

Relation to Transaction

.
*Mailing Address

. *Address:

.........*City: *State:   *Zip:

*Email
*Phone Home Work Mobile
Second Phone Home Work Mobile
Agent Information
If there is no agent then leave this section blank.
Agent's Name
Real Estate Office  
Agent's Email
Agent's Phone Home Work Mobile
Agent's 2nd Phone Home Work Mobile
Property Information
Inspection Fee is based on the information you provide.  Please fill in what you know.
Type of Stucco
E.I.F.S. Traditional Hardcoat I Don’t Know
*Property Owner’s Name
*Property Owner’s Phone
*Property Inspection Address

*Street:

.......*City: State:   Zip:

Out of area inspections require a travel fee.

Access .....................  
*Utilities

*Electricity
*Water
*Fuel

Style

 
Approximate Year Built  
Square Footage       Source:
Occupied Yes No  
Roof  
Space Underground Basement...... Crawl Space....... None - Slab on grade
Space Below Grade  

 

Garage

Attached Detached
Decks
Chimneys

Stucco Inspection Fees
 
FULL MOISTURE INTRUSION - This includes visual, non-invasive, and invasive evaluations. This is recommended for all stucco clad properties where you have to know if water has entered in behind and caused damage to the system.
VISUAL-ONLY STUCCO INSPECTION - This does NOT include non-invasive and invasive testing. This inspection is meant for system identification and system mis-installation identification only.
Scheduling & Payment Information
We will make every effort to meet your scheduling needs.
Inspection Deadline
Time Preference
AM PM NO PREFERENCE - Either AM or PM
Special Concerns and/or Comments

Method of Payment
Cash
Check
Credit Card

PLEASE NOTE: Payment is expected either:

  • 1) Before the inspection by faxing your credit card information to our office at 801-224-6207.
  • 2) On site at the conclusion of the inspection.
  • 3) Or you can mail the check to:
Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057
Credit Card Information
CARD TYPE

CREDIT CARD:This is a secure HTTPS payment form and your private information is encrypted. If you would prefer to fax your credit card information to us, then download the FAX PAYMENT FORM and fax it to 801-224-6207.

CREDIT CARD NUMBER:

EXPIRATION DATE - MONTH: YEAR:

NAME ON CARD:

SECURITY CODE ON BACK:

CHECK: If you are paying by check please mail payment to:

Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057

Contract Approval
PLEASE  VIEW  & APPROVE THE APPROPRIATE CONTRACT
FULL MOISTURE INTRUSION CONTRACT
PDF Version - 36 kb
HTML Version
“LIMITED VISUAL-ONLY” CONTRACT
PDF Version - 37 kb
HTML Version
Please read the contract and make the following selections.
FULL MOISTURE INTRUSION
LIMITED VISUAL-ONLY INSPECTION
I Areee To The Contract. I prefer to sign a hard copy on site I Do Not Agree
I am filling this out on behalf of the client - Please send them the contract for approval.
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Changing the Way Real Estate is Inspected in Northern Utah!

Copyright 1997-Present
Michael Leavitt & Co Inspection, Inc.
1145 N. Main St.
Orem, UT 84057
801-225-8020