HomeMy WebLinkAboutRecords Request - OTH Record Requests - 10/12/2007 Oct 12 07 12:41p Jim Crim 425-672-8956 p.2
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 X Picked Up_Date: /o "1
Requesters Name: JLi!rn C 5 cy'I.rn
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Company Representing: 04j-)Yl e'r-
Address:
Jul) 304 II Li Co Email Gt' 1 ,,, CD✓1 � �",-Y'cccs�- i��f
City: ��yy.v,� S State: W14 Zip: 9�'DiZO
Phone: l�fl- ) R8 -�77�7 Fax: 405 -510
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Parcel No. - -3 U v —
Parcel Address: O 5•r'• 1
Owner: &-bO Ve- Previous Owner f r e Y.s v r�
Please Provide Records For The Following:
Environmental Health Planning Dept. Building Dept.
Please specifically describe what records or kind of records you are requesting:
W r - e� fah/,Sh ��-
1, C' L�"-/ ' 6 e lot,
tion obtained from this re will not be used for
RCW 42.56 1 certify that the information u�
commercial purposes. Signature Required: vlL �
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 l 1"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 Only
Completed By C46R Ext. 9-4 Date:
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.
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