HomeMy WebLinkAboutOTH Record Requests - 5/20/2011 05/25/2011 1.6:08 FAX 0001
TX REPORT
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TX/RX NO 0192
RECIPIENT ADDRESS 94278649
DESTINATION ID
ST. TIME 05/25 15:58
TIME USE 09'57
PAGES SENT 9 I
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MASON COUNTY PUBLIC RECORDS REQUEST FORM
j PUBLIC HEALTH
415 N 6t6 Street-PO Box 186,Shelton WA 98584
PHONE(360) 427-%70 ext. 400 FAX (360)427.7787
Requ* rs name: Date:
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Comps iy]Representing: Mail Fax Pickup
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Please specifically describe what records you are requesting.
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r ' ** Pleaso allow 5 busuuss days for a response to your request.RCW 42.56.520
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it agr all copy charges pursuant to Mason County's fee schedule.RCW 42.56-120
Oro `formation obtained through this request WIII not be used for commercial purposes. RCW 42.56- 0 9)
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.�:,Requ �� Signature: ._ Date;
offlow use only
ive-rlfay otice sent Date:
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MASON COUNTY PUBLIC RECORDS REQUEST FORM
PU13LIC HEALTH
415 N 6"' Street-PO Box 186,Shelton WA 98594
PHONE (360) 427-9670 ext. 400 FAX (360)427-7787
Request rs name:
W I l Date:SSG(. LPG S 30 ( !
Compat y Representing: Mail Fax
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Addres Phone:
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00 (O O Parcel Address:
Owner,: Previous owner:
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_ Please specifically describe what records you are requesting.
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'Please allow 5 business days for a response to your request. RCW 42.56.520
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C agree ay all copy charges pursuant to Mason County's tee schedule.RCW 42.56-120
t certi e information obtained through this request'will not be used for commercial purposes.RCW 42.56-070(9)
Request `r" Signature: Date: J
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Official Use Only
ive-day�l otice sent Date:
Complett. n date
Completd. 1 by
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Records ere Alailed Faxed . Viewed Picked up
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