HomeMy WebLinkAboutOTH Record Requests - 6/20/2008 Jun 20 08 03: 07p NPK Fire Systems LLC 36042B3509 p. 1
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 X Faxed_Picked Up_Date:
Requesters Name:
Company Representing:
Address: C C o Wel5__� �j- / Email: / r�P �//C�
City: _54e/2in State:/,'04 Zip: 99' ST4/--
Phone: 3` 42—6 3S-P-! Fax: _
Parcel No. 4.2 J a - 52 - L2 I L �o
Parcel Address:�Ci �Af Ps-� C� f
Owner• ) L e Previous Owner. ,� - V
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 1 certify that the informatio ob this requ of be used for
commercial purposes. Signature Requir
Requests may be charged per RCW 4 . 6. 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 Onl
Complete Ext. Date: -
Notes: �'
*Please allow 5 business days for us to respon to ur request*
If items are being mailed please allo
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