Orcas Sewage Design: Place an Order

Orcas Sewage Design - Land Division Order

Fill Out Form Below or Call OSD at 360-376-2762 or Fax to 360-376-4861

Date Ordered:
Date Needed:
Type of Order:
Would you like someone to call you to set up a meeting to meet onsite:
Would you like someone to call you before going to the site:



Order Agent / Office:
	Ordering Agent:	If other Specify:
	Name of Agent:
	Office:
	Phone:
	Fax:
	Email Address:	Required

Billing Info:
	Name/Company:
	Address:		City:
	Address:		State:
			Zip:
	Phone:
	Fax:
	Email Address:

Surveyor Information:
	Company:
	Agent Name:
	Phone #:

Property Information :
	Island:
	County:
	Site Address:
	Sub-division:
	Lot #:
	Tax Parcel #:
	Property Corners Marked?
	Proposed # of Lots:
	Water Source:		Other:
		If Community System:	Name:
		If Proposed Well:	Driller Name:
			Well Driller Phone:

Notes:

To submit this form, please enter the code characters you see in the image below.		Enter Code Here:

Send Order:
	It may be necessary for the client to meet the technician on site to confirm the property lines. If there are no visible property stakes and we do not feel comfortable with the property lines, we may recommend that a surveyor come out and show us the property lines. Feel free to contact us at info@orcasdesign.com with any questions or comments. We appreciate your business.