Residential Quote

Please choose all that apply.

First and Last Name

Phone Number

E-mail Address

House Address

What is the requested service for?

Add/Change an Outlet

Add/Change a Switch

Add/Change a Light Fixture

Electrical Panel

Electrical Service

Phone/Data Line or Wi-Fi

Other:

Clear selection

What type of house?

Ranch

Craftsman

Contemporary

Colonial

Townhouse

Tudor

Other:

Clear selection

What room needs service?

Kitchen

Living Room

Bedroom

Bathroom

Basement

Garage

Outside

Other:

Clear selection

If yes to Garage is it attached or detached?

Attached

Detached

Clear selection

If Garage is detached how far away from house?

up to 20 ft

20 ft - 50 ft

50 ft - 100 ft

over 100 ft

Other:

Clear selection

Approximate year built?

1980 - current

1960-1980

1940-1960

Before 1940

Other:

Clear selection

How many stories (including basement)?

Ceiling in the Basement?

No Ceiling

Movable Ceiling Tiles

Fixed/Drywall Ceiling

Partial Finished Basement

Other:

Clear selection

For basement is service area in finished or unfinished area?

Finished

Unfinished

Clear selection

Is the attic accessible?

Yes

Clear selection

Any other comments or questions...

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This form was created inside of Summit Electric QC.