HomeMy WebLinkAboutResearch Request - OTH Record Requests - 5/29/1997 MASON COUNTY RESEARCH REQUEST SEARC Q FORM
426 W CEDAR STREET SHELTON, WA 98584
PHONE # 427-9670 FAX # 427-7798
PLEASE ALLOW UP TO 72 HOURS FOR COMPLEETION
DATE REQUESTED: �12n /Cy� TIME: 4-M
REQUESTERS NAME:
ADDRESS: CITY:
PHONE #: FAX #:
PLEASE RESEARCH THE FOLLOWING:
BUILDING RECORDS:
SEPTIC RECORDS: AGE OF SYSTEM:
WATER SAMPLE: DATE OF SAMPLE:
PRESENT OWNERS NAME: ���ow�A s 7t-[E!�a
ORIGINAL OWNERS NAME: 'T2-t rn
LEGAL DESCRIPTION: �YL _S A/ AW Dry
A-N D
PARCEL #:(twelve digit tax parcel) 2 ( - _'�;' O d O r;- 6 —
RESEARCH TO BE: MAILED: FAXED: ICKED UP:
COUNTY STAFF PERSON ACCEPMG REQUEST:
PLEASE COMPLETE THE FOLLOWING FOR ANY LARGE REQUESTS FOR PUBLIC RECORDS i.e.
REQUESTS FROM ATTORNEY'S. POTENTIAL LITIGATION, DISPUTES, COMPLAINTS, ECT...?
Description of records requested and purpose for review:
RCW 42.17.020. I certify that the information obtained through this request will be used
only for the reasons stated and will not be used for commercial purposes.
Signature Date
RCW 42.17.310. During file review, any pages you wish to have copied (excluding non-
public record documents) must be tagged and charges will be assessed at .10 per page.
Copies can be mailed or you may pick them up when ready. Copy charges must be prepaid.
COUNTY USE ONLY:
RESEARCH COMPLETED BY: DATE:
FINDINGS: