HomeMy WebLinkAboutOTH Record Requests - 3/29/2009 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: b ovr of G 0 . Wt av>,u
Company Representing:
Address: .201). W. CbylaJIuwt . Email: 13 Cn ,coves
city: ck.t�l+o-"V State:lf zip: g4 eS'1
Phone: Fax: (�� yam.
.Parcel No. 4 . , O 3 L - 1 Et - Q 0 O 3 O 3
Parcel Address: A 0 7.t u- - CL-It. % `AJ i, �,� (n `n� CJ�..
Owner: DarjaC IN�aae.C Previous OwnerRc1 t4nd.o,t_
Please Provide Records For The Following:
Environmental Health Planning Dept. ✓ Building Dept. __
Please specifically describe what records or kind of records you are requesting:
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RCW 42.56 I certify that the information obtai from thi will not be used
commercial purposes. Signature Required:(J�
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 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 On
Completed By: Ext.�� Date: 3 CA
otes:
*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.
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_ icked U ate: 3/c ?c5 ( 09
Requesters Name: J nh0 J / ! '7 n c
Company Representing:
Address: CI ( / //irAAzQ) Ertrnil2LLLfl (/OS
City: State: Zip:q fr / l
Phon C PO !7 7N/ !Fax: _DO(0— —� 7
Parcel No. I/ ® 3 - I /-
Parcel Address:
Owner: Previous Owner
Please Provide Records For The Following:
Environmental Health Planning Dept. V Building Dept
Please specifically des the what records or kind of records you are requesting:
Za
RCW 42.56 1 certify that the information obtai om this request will not be used for
commercial purposes. Signature Required: D__
--
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 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:
fficial Use Only
Completed By: Ext. i Date: cU oq
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.