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Address of request
What is the status of this project?
When would you like this request to be completed?
Is this request covered by an insurance claim?
No
Yes
Is this a commercial location?
No
Yes
Do you own the home for this request?
No
Yes
Why do you need a sump pump?
Basement floods because of rising water levels
Basement floods during storms
Protection against bursting pipes or clogged drains
Water leaks through foundation walls
Is there electric power to the proposed sump pump location?
No
Not sure
Yes
Do you know how thick the concrete slab is?
4-6 inches
Don't Know
Less than 4 inches
Thicker than 6 inches
Do channels need to be provided in order to direct water to the sump pump location/
Don't Know
No
Yes
Where will the sump pump water be dispersed?
Away from the house into soil
Don't Know
Other
Sewer lines
Storm drain system
 Do you need financing for this project?
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