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� � � k. �rl�� ��s <br /> I � 5329 W, CRENSHAW ST. � TAMPA, FL 33634 � � � <br /> 877-90-BANKO (22656) � Banko�oor�.CO,�I� <br /> � � Tampa Bay Area:813-882-9900� Manatee/Sarasota:94"I-756-7424 �Pinellas/Pasco:727-530-440.1. . <br /> DATE ��`f �I�INSTALL DATE/TIME �'� j� )�y � TICKET NO:; ��j�G�, <br /> OYERk D DOORS,INC. <br /> GARAGE DOORS&OPENERS r We cannot redictthe lifes an of a rehooked o ener � <br /> Name ��UE�l2.�t � s\�l.�,VG•NS � � Door and o ener are se arate items <br /> Address ,���� �.-1-�t��-9 � �" I will be available for a count ins ector to ins ect work ; <br /> —I— ���[,�.Z We do not caulk or aint� ! <br /> City � � � 5 State Zip [ We cannot redict are not res onsible for stucco „�/�.- <br /> Subdivision LoUBLK Pa ment in full due at time of the install �� `,ti <br /> �'3 ,.]� , `3 �� �ara e must be clear�o'back on install da ! � <br /> Phone S ecial order doors take a roximatel z weeks to arrive f <br /> Email Fd'e.E��C.�(�',.1�-.N�[�.{�U�6�Fr1� • �� I hereby authorize Banko to publish the photographs of my I <br /> garage door or me for use in printed publications and website. <br /> Sales Consultant ����.�- �t 3 t��13 .35��� ' <br /> \ Other. <br /> � ..- . . . . . . - . <br /> 1 `7'3 ��o .�` � �e�� � �.1�t ' �--� <br /> v <br /> � / �'35'�S� �z f-t� �` ,�'C�-� � �.'�+`�.�e� .�s� -' � <br /> � <br /> :�'-��.� �.��' ��, ����+ <br /> e-I��- �.��// <br /> .- . . .- . • • . . . . . ����.� <br /> Homeowner Signature X +. :. l ���r2r'� <br /> � <br /> �`"' """1 ��e y"�c"'�� �""""'� Framing: Existing Door �Sectional ❑ None ❑1-piece <br /> InPinellas��� � �fatr;�'"lac�e �:��� �Wood <br /> County,bucks F��eilen,�_ �nonr-,, `exce � j y Does current trim protrude over 1/4"? .�No ❑Yes <br /> t� � �., �' ' Ilenc � Block <br /> must be high � •�� ,- . _ •- ''� :+a How Far? <br /> e�oUgh to � ��r ��ellen fafr��'replace none, ir , Stem <br /> allow instali of �� :•�. .." �Wall Recess �Okay ❑Needs to be Cut <br /> �,�_____�/7= <br /> bearingplate � � Add Anchors?�E NO , �� � ❑Other 10'Back Wor{voom ❑Yes �No �Told to Clear <br /> flange/ag.If rcplace� ( / trepia�e <br /> bucks are L'' � Requirements fbr'Installer. k( buck he�gnc Existing Opener �Yes ❑No <br /> short,add � �one � W4-5�min.75"intervals C 'oone-� Existing Opener�Norks? �Yes ❑No �Recommend Ne�v <br /> extensions to l' ;, W6,min i2"intervals �:`, <br /> � � �.� Recannecl? p No ❑ Yes <br /> estimate. ( ^�yy��g_see special instructions �'� <br /> Brand of Exisfing Opener L ` r,r Apx.Age <br /> (4"min clearance on each side of opening) <br /> A Prewire? ❑Yes ❑No <br /> Vinyl InslrucGons �� i•i. t <br /> Power Onsite? �Yes ❑No <br /> WS Color �� ,� <br /> Ceiiing Outlet? ��Y�s �No <br /> Hard�vare ❑Keyhandle �Inside Locks ❑Barrel Vault Release �{ <br /> (PERMlTTING lNFO ONLYJ <br /> Who Is Pulling Permit? ❑Custom�r �Banko ❑N/A ❑Unknown Who To Call���� Install Dat� � <br /> Opening Sizes 3� a� � Pho Q�3 ��� '�3�� AIt.Contact# Q ! � <br /> Email �������1�j lw_1-t�i-fP��l� o C�S�tiI� <br /> Are Openings Square? �Yes ❑No (Measure Both Sides of Openings) Door Approval# <br /> (;!L,¢�� <br /> Floor to Ceiling Height r / . 15'rad.(8'S"&higher) <br /> ❑D T (7'8"-7'11") �12"rad(S'-8'4") ❑D T.Rear(7'5"-7'7") <br /> Year Built �-Existing Structure ❑New Structure <br /> Stage of Construction: ❑Framed ❑Drywall ❑Painted _ •. � <br /> Special Instructions: ��� . <br /> �")�.-$�'y`G-,�.f�t� �'�S ..,'t.�` I�,� �,:��L� ��Z 7�/.l L G <br /> R�57�3 <br />