Request Service Your Contact Information: Name: Phone Number: Secondary Phone Number: Address: Address Line2: City, State Zip: Email Address: Preferred Appointment Time: Preferred Time: Preferred Day: Requested Service: Level I Inspection (annual) Level II Inspection (change/addition of appliance, property transfer) Level III Inspection (insurance claim, consultation, report preparation) Note: Please see “Articles Page” for more information and NFPA requirements All Inspections will be conducted by a CSIA Certified Chimney Sweep Chimney Sweep (includes Level I Inspection) Cap & Crown Maintenance Relining Proposal Masonry   Tuckpointing Firebox Restoration New Construction Chimney Rebuild Waterproofing Woodstove Installation Natural Gas Installation Propane Install Pellet Stove Installation Draft/Smoke Solution Multi-Fuel or Class A chimney installation Animal Removal Other (Please explain in comment section) Information about your chimney: # of Stories: 1 2 3 # of Flues: 1 2 3 Type of fuel: wood oil natural gas coal pellet Propane Type of system: fireplace furnace   free standing stove Pre-Fab and Modular   stove insert     lined to top lined to first flue tile Caps: Yes No Last serviced: 1 year 2 years 3 years more, please schedule a.s.a.p. NFPA requires all chimneys to be annually inspected. Comment Section: