HomeMy WebLinkAboutOTH Record Requests - 9/9/2004 SEP-09-2000(THU) 14: 21 MCTC (FRk)360 127 7179 P. 001 /001
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426 W wear S4 PO,BOX 158,Shelton WA 88684
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I would flke.the i talon: RequesWr's Name
Mailed ❑ axe_ Up ❑' Address ,
Date of Request City /1 7�7�1 St ZIP
Time of Request, Cg , Phon
PLEASE PROVIDE RECORDS FOR THE FOLLOWING: lid SCJ7(&b )C C_z
Septic Records. ..T .. .p ❑ As-Built Only' ❑ :'1`2 Digit Tax Parcel No.
Other(See Below)
Present Owner �-/
o f �,.
Previous Owner L1 Ad_k 1 rn /q S
SRO Address
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Please specifically describe what records or/kinds of records you.are requestlrl(g:
-_ .RCW 42.17.0201 certify that the Information obtained through this request will not be used'fvr
.commerciar.pu es_ Q
Signature Date
• Large requests may badiarge l as ptov4ed by RCW 42.17.310. During file review, any pages
you wish to have.copi6d (excluding non-public record documents) must be,taggc4 and.chates
will be assessed•at.15 per pale. Copies can be ma3led'oryou may pick them up when ready.
• Copies of blue prints or other large format Items, when available, maybe charged a higher rage
per a e
'OfflclaWse Onl
Request Routed To. PAC Pile Clerk' ❑. CountyAdmin. ❑ Clark of the Comm. ❑
Other ❑, aullding ❑" Planning ❑ Environmental Houlth ❑
Public Work3 Assessor . Auditor . Treasurer
Completed by .. .. : ' ) r.
`� F `. . .�`7 Records were
Completed date: : �. Faxed
Notes: _ Mailed
To be picked up ❑