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residential
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RICHMOND OFFICE

Parker Design Group, Inc.
1915-B W. Cary Street
Richmond, Virginia 23220
Phone: 804.358.2947

ROANOKE OFFICE

Parker Design Group, Inc.
2122 Carolina Avenue, SW
Roanoke, Virginia 24014
Phone: 540.387.1153
FAX: 540.389.5767

Rocky Mount Office

Parker Design Group, Inc.
180 AMT Tech Drive, Suite 101-B
Rocky Mount, Virginia 24157
Phone: 540.483.0078

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Non-Residential Order Form

Date orderd

Date (Required)

orderd by

E-mail

Company

Bill To address

Phone Number

Tax/parcel ID#

Property Address

Subdivision or lot & block

Type of Survey Needed

Boundary survey Topographic survey Boundarty improvement survey (Mortage srvey) ALTA/NSPS survey Construction stakeout Storm water servicesSite plan/ building permit plot planDrainage plan Septic design and permiting Rough stake out ( 4 corners & grade)final stake out (4 corners w/ offests if needed: must specify)Foundation location survey Final/AS-built Under construction elevation certificate (FEMA)Elevation certificate (FEMA)Other (Please describe)

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Richmond Office

Parker Design Group, Inc.
1915-B W. Cary Street
Richmond, Virginia 23220
Phone: 804.358.2947

Roanoke Office

Parker Design Group, Inc.
2122 Carolina Avenue, SW
Roanoke, Virginia 24014
Phone: 540.387.1153
FAX: 540.389.5767

FORMS

RICHMOND OFFICE

ROANOKE OFFICE

Rocky Mount Office

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Non-Residential Order Form

Type of Survey Needed

Richmond Office

Roanoke Office

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