HomeMy WebLinkAboutResearch Request Form - OT General - 8/6/2002 MASON COUNTY RESEARCH REQUEST FORM
426 W Cedar ST, PO BOX 186, Shelton WA 98584
PHONE (360) 427-9670 FAX (360) 427-7798
Please allow up to 72 hours for completion*.
If items are being mailed please allow an additional 3 days until you receive the paperwork
would like to information: Requestor's Name oL�
Mailed ❑ Faxed ❑ Picked Up ❑ Address
Date of Request g C P -off— City St Zip
Time of Request Phone Fax
PLEASE RESEARCH THE FOLLOWING:
All Records ❑ Plot Plans ❑ 12 Digit Tax Parcel No.
Building Records ❑ 3 a 3 3 - - �' �l O v
Septic Records ❑ As-Built Only ❑ Legal Description
Present Owner _'?Dl`LA-� �kEfLK00_ C urn Go I S
Previous Owner Site Address
Other information / Notes
Please describe the use of the requested records
• RCW 42.17.020 1 certify that the information obtained through this request will be used only for
the reasons stated and will not be used for commercial purposes.
Signature Date
• Large requests may be charged as provided by RCW 42.17.310. During file review, any pages you wish to ha a
copied (excluding non-public record documents) must be tagged and charges will be assessed at .15 per page.
Copies can be mailed or you may pick them up when ready.
• Copies of blue prints,when available, may be charged a higher rate per page
FOR COUNTY USE ONLY
Research completed by Mailed
Notes Faxed
Called