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Home My WebLink AboutOTH Record Requests - 8/30/2008 Sep 30 08 04: 43p John Gunter 3GO-275-6027 p. 1 . a Mason County Public Records Request Form 426 W. Cedar Street, PO Box 186, Shelton WA. 98584 Phone: (360) 427-9670 X-352 Fax: (360) 427-7798 I would like information: Mailed,Faxed_Picked Up_Date: Requesters Name: Lin Company Representing: Ed L)C el 1 la- (4 (4) �eoV1 Is 4 � Address: L)92S&nI Za(�e L/�,IW Email: ao (f '5eg4k A/}cuo • C0IC City: zel Y '(� State:N4 Zip: r?6f S7 2j �J Phone: 360 —6 2O '--00 g 3 Fax: Z60 2- 0 2-7 Parcel No. 1 2 .3 .3 6 -S Z - D C) d -7 9 /Parcel Address: Z �e5�AIJ L#k-e LnI ��r i rr 1�'/ y0F S Owner: rC jf�c-" *5"P !!!k�( Pr�us Owner Please Provide Records For The Following: Environmental Health Planning Dept. Building Dept. Please specifically describe what records or kind of records you are requesting: ,SE�7-f c AS V j/A RCW 42.56 i certify that the information obtain fr this request will not be used for commercial purposes. Signature Required: Requests may be charged per RCW 42.56. During file review any pages you wish to have copied (excluding non public record documents) must be tagged and charges will be assessed at .15 cents per copy. Larger than 8.5"x i 1"will be charged at a higher rate as established by Mason County resolution. In addition to the per copied page fee standard postage rates will apply. Make Checks Payable To: Mason County Treasurer; Total Fees Due: Official Use Only Completed By: Ext. Date: Notes: *Please allow 5 business days for us to respond to your request* If items are being mailed plcasc allow an additional 3 days until you receive the request submitted. MRy-28-2009(THU) 10: 25 P. 0011001 MASON COUNTY PUBLIC RECORDS REQUEST FORM 426 Cedar Street, PO Box 186, Shelton,WA 98584 Phone (360)427-9670 Fax (360)427-7798 "Please allow 5 business days for us to respond to your request" If items are being mailed please allow an additional 3 days until you receive the paperwork Requested by: Mason County Title Attn. Colleen Reamer PO Box 2728, Belfair,WA 98528 360-275-9160 phone 360-275-8588 fax colleenrahctc.com PLEASE PROVIDE RECORDS FOR THE FOLLOWING: SEPTIC RECORDS AS BUILT ONLY ❑ OTHER (SEE BELOW) 0 12 Digit Tax Parcel No _ 3 �J p - ate -0_d 0 Present owner: t a�3 Previous wner- Site Address: \ 1 Kr1, [Q,ID U>J'LP 1—F\ Legal Description: Please specifically describe what records or kinds of records you are requesting (other): RCW(4 .127certify the a information obtained through this request will not be used for comms. Signa DateLargey be charged as provided by RCW 42.17.310. During the file review,any pages you wish to have 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 or other large format Items,when available, may be charged at a higher rate per page Official Use Only Request routed to: PAC File Clerk a County Admin ❑ Clerk of the Comm ❑ Other ❑ Building ❑ Planning ❑ Auditor ❑ Public Works ❑ Assessor ❑ Auditor ❑ Treasurer ❑ Completed by:, Ext � Completion Date:_ Records Were: Faxed ❑ Mailed 12 AUG, 25. 2008 12: 28PM WINDERMERE /HIMLIE N0, 0125 P. 1 . MASON COUNTY PUBLIC RECORDS REQUEST FORM 426 W Cedar St, PO BOX 186, Shelton WA 98584 PHONE(360)427-9570 FAX (360)427-7798 Please allow 5 business da VS for Us to respond to your request* 'cif Items are being malted please allow an additional 3 days until yod receive the paperwork I would like the information: Requestor"s,Name Debi DL1 M! Mailed ❑ Faxed Picked U CIO W I be AM rae- - HIMLE p ❑ Address 9 20 Q;.t l,acv:�'j / Po I?__9 Date of Request �—Z —C) City ) St WA Zip C1t5L1J(6 Time of Request I - J� f/ J Phone 340 (( 9Q-115 L{ Fax L&c "ZOO q 8 PLEASE PROVIDE REC RDS FOR THE FOLLOWING: Septic Records As-Built Only ❑ 12 Digit Tax Parcel No. Other(,See Below) ❑ ar 3 -3 0 _ O o O Present Owner �Y Legal Description � C' � ' 1 Previous Owner � v`^V'��'1 Site Address /VL-r Please specifically describe what records or kinds of records you are requesting: � • RCW 42,17.020 I certify that the information obtained through this request will not be used for commercial purposes, Signature , k!� Date • Large requests'may be c rged s provided by RCW 42.17.310. During file review, any pages you wish to have copied (excluding nonpublic record documents) must be tagged and charges will be assessed at .1 v per page. Copies can be mailed or you may pick them up when ready, • Copies of blue prints or other large format items, when available, may be charged a higher rate per page Official Use Only Request Routed To: PAC File Clerk ❑ County Admin. ❑ Clerk of the Comm. ❑ Other ❑' Building ❑ Planning ❑ Environmental Health ❑ Public Works Assessor ❑ Auditor ❑ Treasurer Completed by: EXt � Records were Completed date: s� (� Faxed Notes: Mailed ❑ To be picked up ❑ MASON COUNTY PUBLIC RECORDS REQUEST FORM 426 W. Cedar Street, PO Box 186, Shelton WA 98584 PHONE (360) 427-9670 ext. 352 FAX (360) 427-7798 Requestors name: Date: Company Representing: Mail 'Fax Pickup View Address: Phone: City, State, Zip: Fax: Parl�Ce,1-R:�. C, ,� � Parcel Address: �{ J Owner: Previous owner: Please provide records for the Following: Environmental Health-�,— Planning Dept. Building Dept. Please Specifically describe what records you are requesting. ***Please allow 5 business days for a response to your request. RCW 42.56.520 *** I agree to pay all copy charges pursuant to Mason County's fee schedule. RCW 42.56-120 I certify the information obtained through this request will not be used for commercial purposes. RCW 42.56-070(9) Requestors Signature: Date: Official Use Only Five-day notice sent Date: A-h - Completion date 1 d Completed by Ext.: ee's due $ Records were Mailed Faxed Viewed Picked up otes