PLASTER REQUEST FORM

Company name*

Job/Customer Name*

Job Address street state and zip code*

Name of Gated Community

Gate pass requirement (cost, license, registration, code, etc?)

Parking requirement

Estimated distance of pump truck to pool/spa

Pool Length X Width

Pool Perimeter

Pool depths

Internal Sq Ft (If Applicable)

Spa

YesNo

Linear feet of steps and Benches

Negative Edge:

YesNo

Does the pool have trim tile:

YesNo

Plaster Finish Type

PebbleTec Color

PebbleSheen Color

PebbleBrilliance Color

PebbleFina + Quartz Color

PebbleBreeze Color

PebbleEssence Color

Hydrazzo Polish Finish

Project Manager onsite

Cell Number

Plaster Date Requested

Date

(we are currently 3-4 weeks out so select date accordingly) * Please attach a pool plan with dimensions including internal surface area

Prep Needed:

YesNo

Fitting Color:

WhiteLight GrayDark GrayBlack

Fittings Provided:

YesNo

Returns:

1 ½" self align:

2” insiders:

Umbrella Holders

Bubblers

Special Fittings or notes for Prep

Hose Filled:

YesNo

Hose Provided:

YesNo

Water Truck Filled:

YesNo

MicroGlass:

YesNo

Notes:

(Note: MicroGlass requires 4-6 hr dry time before filling pool/spa) *If hose filled, PM or Homeowner will need to turn water on to fill Requested plaster dates are not guaranteed.

Plaster dates will be validated & confirmed one week prior to the date requested. Due to the constant shifts, this will be the best way to guarantee we can plaster your pool within 5-7 days of the plaster date requested on this form. We must have this form filled out prior to scheduling. We will contact you the week prior to ensure the job is ready and what day you will be put in for installation.

Upload pool plans/drawings for paster request approval.

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