Service Invoice

Name*
First Last
Email*
Address
Street Address Address Line 2 City ZIP Code
Fireplace Type*
- Prefab
- Masonry
Number of Stories*
- 1
- 2
Flue Size
- 13 x 13
- 9 x 13
- 8 x 8
- 8" Round
- 10" Round
- Unlined
Number of Fireplaces
- 1
- 2
Fireplace Opening Size
Chimney Issues
- Chimney Needs Waterproofing
- Chimney Needs A Cap
- Chimney Needs A Chase Cover
- Crown Needs To Be Resurfaced Or Repoured
- Spalling Brick (Water Damage to Masonry Units)
- Chimney Needs Partial Rebuild
- Chimney Needs Repointing
- Chimney Has Broken Flue Liners
- Chimney Flue is Unlined – Does Not Meet IRC Codes
- Mortar Joints Between Flue Liner Sections Are Missing
- Furnace Flue is Unlined – Does Not Meet IRC Codes
- Flashing Needs to Be Flashsealed
- Flashing Needs to Be Replaced
- Chimney Shoulder Needs Repaired
- Chimney Has Glazed Creosote. This glaze must be removed for continued use. May Require Rotary Cleaning Method or Chemicals to Remove From Flue
Fireplace Issues
- Cracks/ Missing Brick in Smoke Chamber. Recommend Necessary Repairs Before Using
- Lintle/ Profile / Hearth Seams Need To Be Filled. Recommend Necessary Repairs Before Using
- Damper Needs Replacing
- Firebox Needs Patching
- Firebox Needs Rebuilt
- Prefab Back/Side/Floor Panel Needs Replacement
- Prefab Firebox Needs Full Replacement of All Panels
- Improper Clearances to Combustibles
Wood Stove/Insert
- Insert Is Not Installed To IRC Codes
- Stovepipe is Not Installed Properly
- Improper Clearances To Combustibles
Technician's Name*
Technician's Comments
Description of Services
Payment Method
- Cash
- Credit Card
- Check
Check Number
Field Measurements
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
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Max. file size: 50 MB.
File
Max. file size: 50 MB.
File
Max. file size: 50 MB.
Extra Email Address
Extra Email Address
Extra Email Address
Extra Email Address
Extra Email Address
Mail Copy of Invoice to Customer?
- Yes
- No
Comments
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Ashbusters Chimney Service Invoice

Service Invoice