Report Sep 1514 02:18p GSE INC 5036522333 p.1
4.
1
A YYY✓✓✓ RECEIVEP
. REC
SEP 15 2014
CITY OFTIGAIW
BUILDING DIVISION
PAUL FISHER JOB INVOICE
BYER'S SEPTIC TANK SERVICE,INC. .
P.O.BOX 549
OREGON CITY,OREGON 97045 A O ERED PHONE
(503)656-3326 D ^l
0�'•�"7ANEN BY •ATE PROMISED ❑AJSI.
byersseptic @gmail.com �"- I --)f-./ QP.M_
BILLTO ii S L
ADDRESS P On, OI —O O O
CITY . .kieI D,...i ,+ .Perri
JOB NAME AND LOCATION '?(/03_ 5 w Qo4,-L ` v —
AMOUNT
TANK MATERIAL
RETE ❑PLASTIC
❑METAL / /
HOLDING TANK PUMPING--- I.. /
SEPTIC TANK PUMPING---
TANK LOCATING AND DIGGING ---
_ -
ARETHERE ANY SAFETY CONCERNS
WITH THIS SEPTIC SYSTEM
❑YES ❑NO
IS THE SYSTEM WORKING PROPERLY
ATTHIS TIME MO
❑YES ❑NO
hereby acknowtedbe the satisfactory
coot
SIGNATU Ef the above described`nark.
oarecoµ�LFrLO TOTAL
SIGNATURE
PAID BY: ❑CASH ❑ CREDIT CARD ❑ CHECK