Client Name * Clinic Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Scope * New Finish Out Remodel Expansion Subcontractors * List the subs for MEPs Med Gas * Oxygen Nitrous Oxide None Portable Med-Gas * If none select none above and no below Yes No Fire Supression * Sprinklers Alarms Knox Box None Unknown Drinking Fountain Yes No Door Types * Version Date * Provide the date of the version of the design we are to use for creating the submittal set. MM DD YYYY Submittal Set * List all items to remove from the design provided by the client for the submittal set. Job Set * Provide a list of all items to be included in the job site copy that are not contained in the submittal set. Any Additional Comments/Notes Thank you!
