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I <br /> -I4 © <br /> Custgmer Name. vPm sis e,[ Date: d-A&Q—/J:" <br /> Type of Property: HOUSE CONDO .MOBILE HOME SINGLE DOUBLE <br /> New Walk=ln Bath Location: ist Floor . 2nd Floor 3rd Floor Other,,;_ - - <br /> Subfioor: CQNCRETESLAB CRAWL,SPACE BASEMENT <br /> EXISUnQ`i Ub IN10asurements <br /> Longth:6 Q_inches "Alldth: inches Distance b/w tub and vanity/toilet inches. <br /> CxlsUng safety bars: YES Pf0 Cuirent.tub/shower FIBERGLASS CAST IRON OTHER _ <br /> Existing tub wafts: TILE IBERGLASS OTHER: <br /> Window over the bathtub"(if applicable)Height from the floor to bottom of window sill: =inches <br /> Door MeaSe FOMentS: <br /> 'Width of front or back door ofbouse:_ Which wall of your existing bathtub or shower has <br /> Width of interior door(s): s <br /> f' the faucet fixture? e:n h-�- Wall <br /> Width of interior hall. Back Will <br /> Stair width: Left Right <br /> Vvidth,ofloathroor»dnor: <br /> 3oU Wall O Wall <br /> New Walk-4 Tub. _30 X51 Liberation <br /> Color: Wht Lin Custom Model:. 3�X 4�,2 OL Value/Deluxe/i Piece Size- <br /> -Door/Drain: RH LH Custom Size: Drain Side LH/RN Glass Door: YES./NO <br /> Pony Wall: YES NO Back-Wall Shei YES NO R&R/EnlargeDoor(s): YES NO <br /> .Surround/Backsplash::YES, NO e: 'FIAT/TILE/MARBLE SafetyBars: ES' NO 4t:� <br /> R&R'Toilet.YES/nlO Promo R&R Vanity: YES NO Subpanel: YES/ o Bidet: S O <br /> Shower Slide Ba Y NO. <br /> Reverse Plumbing11 <br /> . . S NO Addl Extension Kit: YES <br /> 9_stii[oortant.lnforrriatiorr Brand of Breaker• _R"fin Number of open breakers in panel:' <br /> Water Heater: Size GAS/ELEC <br /> NOTES: <br />