HomeMy WebLinkAboutOTH Record Requests - 6/2/2009 FROM (TUE) JUN 2 2009 11 : 43/3T. 11 : 42/No. 6815685404 P 1
MASON COUNTY PUBLIC RECORDS REQUEST FORM
426 w Cedar st.PO Box 1ae, shekon wA 9amm
PHONE(380)427-w7o . FAX(360)427-7798
Please allow 5 b MbMdova for us to r+esaond to wur reauest*
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would like the information: Requestor's Name EL A j Aj
Mailed
❑ Faxed Picked Up ❑ Address 0 0 (3,0�/_ a,g�3
Date of Request City �3 F iq I yl-- St (,tom Zip 1
Time of Request Phone 3e4,0 ro���r�3� Faxes o a oby�
PLEASE PROVIDE RECORDS FOR THE FOLLOWING:
Septic Records As-Built Only 12 Digit Tax Parcel No.
Other(Seth Below) ❑ ! �, 3 o _ 3 - o- o
Preser4t Owner'IHOM195 Legal Description ��A.V-A S y il__
Previous Owner ST L F- N j N f b Iv (o L T- t
Site Address 30 Ni- 54-ArrA1 MA i21 A L N
Please specifically describe what records or kinds of records you are requesting:
• RCW 42.17.0201 certify that the information obtained through this request will not be used for
c ommerci purposes.
S ignatu Date O
• Large-requests
VW
may be charged 8"�� r0vided'by RCW 42.17 33 0. b ring 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 a higher rate
r page
Official Use Only
Request Routed To: PAC File Clerk County Admin. Clerk of the Comm.Qthe a
3 Public orlc r Building Ping Environmenf�ll HeaM [�
2
Assessor Auditor Treasurer Ll
Compleeted by: A Ext Records were
Completed date: Faxed ❑
Notes: Mailed ❑
To be picked up ❑
06/04/2009 15:16 FAX 360 427 7798 MASON CO PERMIT CTR z001
TX REPORT *
TRANSMISSION OK
TX/RX NO 4598
CONNECTION TEL 13602330047
CONNECTION ID
ST. TIME 06/04 15:14
USAGE T O1'49
PGS. SENT 4
RESULT OK
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: j) ,1 - 0 7
Requesters Name: C 11 y ` 1III /A
Company Representing:
Address: SD ✓A LLY 9 V6— /14� Email: c'_ ka s,,4 7 & AA IV.G
City: `v1,4 a"R State:l l/A Zip: '�0 3 7 oL
Phone: 5 3 ��� 7 /�5v Fax:
Parcel No. ! 3 c5 _ �r�a _ 0 c5
Parcel Address: ,0 /V� I'VI OI IA L"V )ae4 J I iZ
Owner: ,Q�6,E R '%Hd A Previous Owner
Please Provide Records For The Following:
Environmental Health t Planning Dept. Building Dept.
Please specifically describe what records or kind of records you are requesting:
SEP7-i C A5 Bv, i.I
RCW 42.56 1 certify that the information obtained from this request will not be used for
commercial purposes. Signature Required: � , _��;y�
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 cones. Larger than 8.5"x 11"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: ySZa,ncQTe,- Date: /O 5/o
Notes:
*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 request submitted.