MARINA PLUMBING COMPANY

GREEN PLUMBERS USA
MEMBER

NON WARRANTY SERVICE REQUEST FORM
DATE: TIME:
NAME:    OTHER CONTACT NAME:
ADDRESS: CITY:
PHONE: OTHER PHONE:
ITEM  
Water Closet/Toilet   Urinal   Bath Sink   Bath Tub   Shower
Kitchen Sink   Water Heater   Water Leak   Gas Leak   Waste Leak
Garbage Disposal   Stoppage   Hose Bib  

Main Sewer Replacement
Video Inspection   Other Backflow Testing or Installation  
NEED  
TODAY   TOMORROW   END OF WEEK    OTHER
SHORT DESCRIPTION OF REQUEST OR PROBLEM  
 
HOW DID YOU HEAR ABOUT US?  
 
PRICING  
Water Heater Installation – most parts included / flat fee with pan and permit:
40/50 Gallon - from $1,300 75 Gallon - from $1,800 Commercial – contact us for a quote
Backflow preventer testing – from $95 Earthquake valve ASSI installed – from $325
Video Inspections – from $395 Sewer Jetting – priced according to size of drain

Service Calls - $135 per hour (1 Hr minimum)
We have the latest technology for video inspection of sewer lines,
hydro jetting, mold remediation, backflow installation and plumbing inspections.

We will contact you shortly to schedule an appointment. 
Commercial accounts will be billed to the business address.