Work Acceptance

Work Acceptance for

Conditions (Previously Agreed Upon)
Mirror Orientation:
Electrical Outlets / Switches?
Electrical Outlets / Switches to be Drilled?
Electrical Outlets / Switches to be Covered?
Mirror Height From Floor:
Stairs / elevators?
Mirrors cut to gain access?
Mirror Remnants Installed?
Other Conditions?

By the signatures below, it is acknowledged that subject to any caveats herein, on 06/18/2025, the work has been completed to the satisfaction of all parties and will pay for the installation and materials in full.
Pictures of Work Completed*
Attach at minimum 2 images
Drop files here or

Max. file size: 10 MB.
Installer
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Installer Name*
First Last
Installer Email
Installer Signature*
Customer
Customer / Job Name
Name as shown on work order
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Buyer Name or Authorized Agent of Buyer Name*
First Last
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Customer Email*
Buyer or Authorized Agent of Buyer Signature*
(Indicates Acceptance of Work Performed)

Work Acceptance for