HomeMy WebLinkAboutOTH Record Requests - 4/20/2006 04/19/2006 05: 41 3602750465 REID REAL ESTATE PAGE 01/01
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MASON COUNTY PUBLIC RECORDS.REOUEST FORM
I 420 W Cedar St,-PO BOX 166,Shelton WA 96664
PHONE(360y 427-9670 FAX(360)427-7799 i
Please allow 5 business da vs for us to respond to vour request`
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1 would like to information: Requestor's Name PAck g M ug �s try-It✓ I
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Mailed Faxed t( Picked Up ❑ Address L0 307
Date of F14S quest 4-20-01 City �3ts[,fAtp— St LUl4 Zip 9952£5 f
Time of Re clueg Phone 340-2'i-1-5112 Fax3o-2-157-6465-
PLEASE OVIDE RECORDS FOR THE FOLLOWING:
Septic ecords As-Built Only ❑ 12 Digit Tax Parcel No.-
Other (Se Below) [] 2 3 2 Q _ d . 01 1- 0 1
Press Owner fbu4 jbiq-r.� Legal Descriptlon t(l. -2-6 Of r-I/x- 6 t W1Y2 �W
Previou I Owner
Site Address 2-1 K18- 4+t w U a 3&F,0rt
I
Please spa w1 cally describe what records or kinds of records you are requesting:
i
e RC1 42.17.0201 certify that the information obtained through this request will not be used for
col ercial purposes.
Signaturl Date
•• Largd requests maybe charged as provided by RCW 42.17.310. During file review, any pages I
you Wish to have copied (excluding non-public record documents) must be tagged and charges
will b#assessed at.15 per page. Copies can,be nulled or you may pick them up when ready.
• Copies of blue prints or other large format Items, when available, may be charged a hlgher rate i
er a e
Official Use Oni
Request, uteri To: PAC Sle Clark ❑ County Admin. Clerk of the Comm.
r ❑ Building Planning Environmental Heafdt
Public Works Assessor Auditor Treasurer
Completed b : Ext Records were
Completed data: ILI, C7 1 01 o Faxed ❑
Notes: Mailed ❑
To be picked up 0
04/21/2006 13:31 FAX 360 427 7798 MASON CO PERMIT CTR 10 001
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TRANSMISSION OK
TX/RX NO 4376
CONNECTION TEL 3602750465
CONNECTION ID
ST. TIME 04/21 13:27
USAGE T 04'15
PGS. SENT 11
RESULT OK