PROJECT INFORMATION

Project Name                  

Address Line 1     

Address Line 2      

City         State     Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming        Zip Code   

Contractor Name        Contractor Phone   

Address Line 1     

Address Line 2 

City     State     Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming        Zip Code   

Construction Start Date (month/day/year)       Construction Complete Date  (mo/day/year) 

Estimated Construction Cost                          Construction Contract Cost  

Change Order Total (if applicable)                Actual Construction Cost      

Architect    Paul Kosla          Brent Hutchinson

OWNER INFORMATION

Title    Mr. Ms. Mrs.      

First Name        

Last Name       

Address Line 1        

Address Line 2        

City         State     Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming        Zip Code   

Phone       Cell Phone      Email 

Please rate our professional performance:            Poor        Good        Excellent

                  Design                                                                   

                  Construction Document Quality                               

                  Communication                                                      

Do you feel your calls were answered/returned in a timely manner?      Yes          No

Would you recommend Patuxent Architects to your friends, family and/or colleagues?      Yes          No

We would like to photograph your completed project.

            May we contact you to schedule an appointment?        Yes          No

Your responses are very important to us. Please take a moment to provide feedback, constructive criticism and/or recommendations: