eoff pif form
DESCRIPTION
Eoff PIF FormTRANSCRIPT
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Eoff Electric Company
Eoff Preliminary Lien / Bond Information FormDate: __________________________________
FIRST SHIPMENT DATE: ______________________________________LAST SHIPMENT DATE:________________________________________
Name of Project: __________________________________________________________________________________________________________________
Legal Address of Project:______________________________________________________________________________________________________________
City ____________________________________________________ State ____________________________________________ County ______________________________________
Description of Project: Residential Commercial Public Federal Other ______________________________
Materials/Services Supplied: ____________________________________________________________________________________________________
Purchase Order #: ________________________________________________________________________________________________________________
Total Amount of Sale $:________________________________________________ Contract #: ________________________________________________
Reported Owner____________________________________________________________________________________________________________________
Address______________________________________________________________________________________________________________________________________
City, State, Zip ______________________________________________________________________________________________________________________________
Contact Information______________________________________________________________________________________________________________(Phone) (Contact)
General Contractor ________________________________________________________________________________________________________________
Address______________________________________________________________________________________________________________________________________
City, State, Zip ______________________________________________________________________________________________________________________________
Contact Information______________________________________________________________________________________________________________(Phone) (Contact)
Lender/Bonding Agent ____________________________________________________________________________________________________________
Address______________________________________________________________________________________________________________________________________
City, State, Zip ______________________________________________________________________________________________________________________________
Contact Information______________________________________________________________________________________________________________(Phone) (Loan # / Bond) (Contact)
Eoffs Customer ______________________________________________________________________________________________________________
Address______________________________________________________________________________________________________________________________________
City, State, Zip ______________________________________________________________________________________________________________________________
Contact Information______________________________________________________________________________________________________________(Phone) (Contact)
Eoff Employee Accepting Job________________________________________________________________Date ______________________________
1831
Portland
Salem
Eugene
Vancouver
Bend
Longview
Medford
Hillsboro
Clackamas
Prineville
SE Portland
Roseburg
Albany
Electrical Total Gear Total
$ $
_________
Verify CCB
300K + Mgr In
Resale Cert
Enter Job
Notify Branch
Job Notice
Enter SSheet
Send Cus Ltr
Bond Letter
Scan
Credit Use
Acct #:
AccountNumber:
lvaleTypewriter
lvaleLine
lvaleHighlight
Last Shipment Date: Name of Project: Legal Address of Project: City: State: County: Other Description: Materials/Services Supplied: Purchase Oreder Number: Total Amount of Sale: Contract Number: Reported Owner: 1st Shipment Date: Reported Owner Address: Reported Owner City, State and Zipcode: Reported Owner Contact Telephone: Reported Owner Contact Name: Lender/Bonding Agent: General Contractor Address: General Contractor City, State and Zipcode: General Contractor Contact Telephone: General Contractor Contact Name: General Contractor: Eoff's Customer: Lender/Bonding Agent Address: Eoff's Customer Address: Eoff's Customer City, State and Zipcode: Lender/Bonding Agent City, State and Zipcode: Lender/Bonding Agent Contact Telephone: Eoff's Customer Contact Telephone: Eoff's Customer Contact Name: Eoff Employee Accepting Job: Lender/Bonding Agent Contact Name: Date Job Accepted: Commercial Project: Public Project: Federal Project: Other Project: Residential Project: Portland: Salem: Eugene: Vancouver: Bend: Longview: Medford: Hillsboro: Clackamas: Prineville: Roseburg: SE Portland: Albany: Verify CCB: