Authorization sheet PROPERTY PARCEL Seller name/ email Email MAILING ADDRESS PHONE/ FAX AS-BUILT Yes No *Drawing showing all buildings & location of all septic components on property must be stamped AS BUILT PETS Yes No OCCUPIED Yes No WATER & POWER Yes No Risers have round lids at the ground level RISERS Yes No GATE CODE If yes, please provide code if needed PUMPING NEEDED Yes No YEAR BUILT LOCK BOX CODE PAYMENT TYPE Cash Check Debit/Credit* • *ALL ESTIMATES HAVE CASH/ CHECK DISCOUNT OF 3.5%, THIS WILL BE ADDED IF USING A CARD. • PLEASE HAVE EXACT CHANGE IF USING CASH -IF AS-BUILT DOES NOT HAVE ALL OUT BUILDINGS AND EXISTING SEPTICS SYSTEMS FOR THE PARCEL, A NEW ONE WILL HAVE TO BE DRAWN PER THE COUNTY HEALTH DEPT. IN ORDER TO FILE REPORT. (KING COUNTY) ESCROW INFO ADDRESS Phone FAX PAYER NAME ADDRESS PHONE # REALTOR INFO NAME & COMPANY PHONE # -NOT RESPONSIBLE FOR ANY LANDSCAPING, SPRINKLERS, TREE OR ROOT DAMAGE, CRACKED OR DAMAGED CONCRETE OR ASPHALT DUE TO TRUCKS OR MACHINES NEEDED TO PERFORM JOB. -OWNER RESPONSIBLE FOR UNMARKED OR MISMARKED UTILITIES. -SIGNATURE REQUIRED FOR WORK TO BE PERFORMED SIGNATURE FOR AUTHORIZATION Date Comments Submit
