Orcas Sewage Design: Septic Inspection: Work Order

Orcas Sewage Design - Septic Inspection: Work Order

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

Date Ordered:
Date Needed:

Ordering Agent / Office:
	Name of Agent:
	Office:
	Phone:
	Fax:
	Email Address:	Required

Buyers:
	Name(s):
	Phone:
	Email Address:

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

Current Owner:
	Name(s):
	Phone:		Fax:
	Email Address:

	Site Address:
	Tax Parcel #:

Fees:	Inspection of systems with one tank: $400.* Please call 360-376-2762 for amount if the system includes more than one tank or house, as further excavation will require additional fees.*

Notes:

House Information:
	Number of septic systems believed to be on the property:
	Number of Bedrooms		Garbage Disposal:
	Occupied?
	If no, for how long?
	Color of House


To submit this form, please enter the code characters you see in the image below.		Enter Code Here:
Send Order:
	Thank you for your order. We will do our best to submit the final copy of your septic inspection by the date specified above; if this is not possible, we will contact you with an alternate date. Please be advised that septic inspections are the property of the inspection purchaser with exception of the ordering agent. We are asking you to inform us if you have any reservations about sharing the information found in this report with other parties presently or in the future. Feel free to contact us at info@orcasdesign.com with any questions or comments. We appreciate your business.