New Wall Mount Flagpole Survey

Date of Survey

Time of Survey

Engineer Name

Our Job Number

Company Name

Site Address (if different)

Site Contact (if different)

Name

Contact Number:

Type

Quantity

What angle (from horizontal)

Specified Angle

Pole Length

Specified Length

Flagpole Material

Brackets

Finial

Halyard

Cleat

Flag Teather

Wall Fixing

Specify Wall

Access

Comments

Cherry Picker

Comment

Additional Information / Special Requirements

Select a file

Photos Attached

Estimated Time

Men

Day / Night Working

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