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HomeMy WebLinkAboutOTH Record Requests - 3/16/2007 03/16/2007 11:49 FAX 360 427 7798 MASON CO PERMIT CTR IM001 sssssssssssssszzssxss sss TX REPORT sss ssxxsssssssxsassssssx TRANSMISSION OK TX/RX NO 2737 CONNECTION TEL 94262698 CONNECTION ID ST. TIME 03/16 11:44 USAGE T 05'46 PGS. SENT 29 RESULT OK MASON COUNTY PUBLIC RECORDS REQUEST FORM 420 W Cedar St,PO BOX PHONE(360)42-96770 ,SFAX(360)427.776,Shelton WA 98 Please a low 5 busaness da vs for us fo res d to ur u '6 itamad pi~@Mw=addMaw 3 daaa:MM ynu raaewa the WP•1 I would like the information: Requestors Name Mailed ❑ Faxed ® Picked Up ❑ Address P-v 6"- ti Date of Request i IS ID') City 61� (L_ St WZip4dsaY Time of Request 21 LCr r Phone L{I,L-261G Fox VU-T PLEASE PROVIDE RECORDS FOR THE FOLLOWING: Septic Records ® As-Built Only ❑ 12 Digit Tax Parcel No. Other(See Below) El Z -1 O D 1 O 8 D Present Owner YISH a r,sr L�-(f Legal Description Previous Owner 6,! ✓1 l e ffl Ile., Site Address 3 D O L prdB r' Please specifically describe what records or kinds of records you are requesting:• ROW 42.17.0201 certify that the Information obtained through this request Vaal not ba used for oommerciall purposes. Signature S, \r 47 ` Data Large requuasts�may be charged as provided by ROW 42.17.310. During file review,any pages you wish to have copied(excluding non-public record documents)must be togged e ind charges will be assessed at .15 per page.Copies can be mailed or you may pick them up wl ion ready. Copies of blue prints or other large format items,when available, may be charged e higher rate r le Official Use Only Request Routed To: PAC File Clerk ❑ County Admin. Clsrkofrha m• Otter ❑ Building Planning Environmental t"Rh PublieWwks Assessor Audllor T urer Completed by: Record were ComDleted date: Fax ❑ MASON COUNTY PUBLIC RECORDS REQUEST FORM 426 W Cedar St, 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 papanvork I would like the information: Requestors Name {f Mailed ❑ Faxed © Picked Up ❑ Address 1 P-9 -&-- 2 9 Date of Request ( I Y I n-7 City S1, fL_ St WA Zip gdsy Time cfRequest 2 .r-Cs Phone Fax lfL '26Y PLEASE PROVIDE RECORDS FOR THE FOLLOWING: Septic Records ® As-Built Only ❑ 12 Digit Tax Parcel No. Other(See Below) F II Z Z - Present Owner Wce ;:3 er 4f ( ( Legal Description Previous Owner <fe y I ►1JIc{Yh lle., Site Address 3 O 80 U Arm t;� ! t d Please specifically describe what records or kinds of records you are requesting: to t r•r cts bc.r'1 h - • RCW 42.17.0201 certify that the information obtained through this request 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 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 per page Official Use Only Request Routed To: PAC File Clerk ❑ County Admin. ❑ Clerk of th Comm. ❑ Other ❑ Building ❑ Planning ❑ Environmental Health ❑ Public Works ❑ Assessor ❑ Auditor ❑ reasurer El Completed by: F_>Zti] � Records were Completed date: C71 Faxed ❑ Notes: Mailed ❑ To be picked up ❑ l 'd OL9 'ON 3I1AIH/ 383AII30NIM AdWZ L006 'SI 'aVA t. MASON COUNTY I. PUBLIC HEALTH ._! PO BOX 1666 415 N 6t'Street SH LTON,WA 98584 SHELTON (360) 27-9670 EXT 400 BELFAIR (360) 75-4467 EXT 400 Elora (360) 82-5269 EXT 400' FAX . (360) 4Z7-7787 jNF.PPMAL REQUEST FOR ENVIRONNMENTAL HEALTH CO IES Date: Mail ❑Pick-up ❑ Email* ❑ Fax Fax Number. Name: ��� n- �� ✓1 lt� Mailing Address: t�a02� �irKCU ' PLQ Email*: City: State Zip: Phone Number: D aG _Please copy the.:che.cke_d:fo_rms _::_ . ❑ Onsite septic system records C Parcel Number. Site Address: �� J ❑ Other This form is not an official Public Records Request. To submit an official Public Records Request go to the Mason County web site to download the form at: h'Ltp://vr,vw.co.raason.7ja-us/forms/cGmraissioia6i-s/T)ubJic records requests) Public Records Requests must be submitted to the appropriate department's R cords Officer. Official Use Only , I Completed By: Ex:t: Date: Scanned Not-Scanned ' Cases No Cases SNP' Notes: