HomeMy WebLinkAboutSPI2007-00029 - SPI Inspections - 2/21/2007 UZ/ZI/ZUU7 UI:4U r'AA St$U7UZ58ti4 SULIND EXUAVATlUN L0001
Fax Cover Sheet
Date: 2-21-07
Sound Excavation, Inc. To: Mason County DCD
3020 W Shernan Hts. Rd. Attention: Allan Borden
Bremerton, WA 98312 Fax number used: 360.427.8425
Ph 360-373-1613 From: Howard Honsey
Fax 360-792-5964 Retura fax number: 360-792-5964
Project name:
Honsey
Number of pages including the coversheet: 4
If any of these fax copies are illegible,or you do not receive the same number of pages stated above, please
contact us immediately at telephone number: 360-373-1613
Remarks:
3 pages request for refined.
Receipt# S2200700000000000298
Case# SPT 2007-00029
Thanks,
Howard Honsey
Cell 360-340-7168
e-mail: howard agsourndexcavation.corn
02/21/2007 07:41 FAX 3607925964 SOUND EXCAVATION a 002
uzicuizuu1 id:3t5 FA-1 10 002
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Processing/InspectlonslAddressing
Moon Courtly Bids 111426 9 Cedar Gc-A
��� 0P.O.Box i86 Shelton,Won,WA 98SS4uif/W
(360) 427-9670 Belfair(360)275A467 EIma (360) 482-5269 Seattle (206) 464-696E
REQUEST FOR REFUND
DATE //D y
NAME: OGv - NSc_
ADDRESS : zoo c..
CITY, STATE: , �✓ ZIP:
PHONE: 9�p2
The applicant does hereby request a, refund on re.celpt
J �29
Dated 2/! /07 _ �'ermit SPt Issued for $ 225;ee
Reason for R4fund Request .�iz� -�.�s,a T�a-� Sc. ✓��� .st�� .
�3-?�-sic/ 7iTi-`J�Lsv�.gn/c�_' oi✓ �}�./ ��5���i,
SIGNATURE:
STATE AUDITOR REQUIREMENTS r
YOU MUST ENCLOSE THE ORIGINAL RECEIPT W2TH THIS M12UES►t+
IF A SUILDTNG PERMIT WAS ISSUED AND WHE REQUEST WILL CANCEL
THE PERMIT THE ISSUED PEMCT MUST BE RETURNED WITH THIS
REQUEST.
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Processing/Inspections/Addressing
Mason County Bldg.Ill 426 W.Cedar
P.O.Box 186 Shelton,WA 98584
(360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968
REQUEST FOR REFUND
DATE: ! G " O
NAME:
ADDRESS: P'191 120 X I a5 5"d
CITY, STATE: �. �7��x� ZIP: $"
PHONE: 260
The applicant does hereby request arefund on rec�eS pt ,
Dated Y-Q-, 0 . Permit(# Issued for $J
Reason for Refund Request
SIGNATURE:
STATE AUDITOR REQU REMENTS
YOU MUST ENCLOSE THE ORIGINAL RECE T WITH THIS REQUEST o ��
J
IF s, BUILDING PERMIT WAS ISSUED AND THE REQUEST WILL CANCEL
THE PERMIT THE ISSUED PERMIT MUST BE RETURNED WITH THISz ,Z
REQUEST.
07 �jo Fut'�VL't'ul A
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