HomeMy WebLinkAboutMobile Home - OTH Record Requests - 9/7/2006 - -- -••• • • •+•+w"`wvnw* rtMAU155T FORM
426 W 00dar St, PO BOX 186,Shelton WA 98584
PHONE(360)427-9670 FAX(360)427-7798
Please allow S business datrs for us to resvond to�our re�xuest*
keens are D"maned please allow an addlttonal 3 nays um ycu rem"in MOM*
1 would like to information: Requester's Name L
Mailed ❑ Faxed ❑ Picked Up Address
Date of Request _9 �7_1e-Yv City . St
zip
Time.of Request Phone"
y o i 00 "1 Fax
PLEASE PROVIDE RECORDS FOR THE FOLLOWING: 1 D cv
Septic Records ❑ As-Built Only ❑ 12 Digit Tax Parcel No.
Other(See Below)
Present Owner Legal Description - �O ►�
Previous Owner
Site Address j C.
Please specifically describe what records or kinds of records you are requesting:
71g�a�uro
.02 ce ifthat the Information obtained through this request will not be used for
rpo s.
Date 9 Q
• !aige requests may becharged as provided by RCW 42.17; 10. uring 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, M
era e may be charged a higher rate
Official Use Onl
Request Routed To: -PAC File Clerk ❑❑ County Admin. ❑ Clerk of the Comm.Other ❑ Building Planning R
Public Works 9 Environmental Health
❑ Assessor ❑ Auditor Treasurer
Completed by: �(-eA/\ Ext I Records were
Completed date: - 3
Faxed ❑
Notes:
Mailed ❑
r To be picked up ❑
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