TYPE OF BUILDING :

LOCATION :

Contact person :

Company:

Address:

City:

Prov.:

P.C.:

Telephone:

Fax :

E-mail:

Building Address (if different):

Contact Person :

Address:

City:

Prov:

P.C.;

Telephone:

GENERAL INFORMATION :

Yes

No

Access restrictions :

Noise restrictions :

Odour restrictions :

Roof height (approx):

Approx. roof surface area (sq.ft.):

EXISTING ROOF COMPOSITION :

Structural roof deck : wood    metal    concrete    other

Insulation:

* Type :

* Thickness (in inches) :

Type of membrane :

sloped    or flat