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HomeMy WebLinkAboutBLD2008-00516 -Case Created for Compliance Insp. and Fee Intake - BLD Permit / Conditions - 5/2/2008 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 ` Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2008-00516 OWNER: SEVERO TAPIA ZAVALA RECEIVED: 5/2/2008 CONTRACTOR: LICENSE: EXP: ISSUED: 5/2/2008 SITE ADDRESS: 220 NE STEELHEAD DR SOUTH BELFAIR EXPIRES: 11/2/2008 PARCEL NUMBER: 223254492002 LEGAL DESCRIPTION: S1/2 SE SE `TR 2 OF SP#2405 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Inspection / BCC2007-00122. Case created for compliance inspection and fee intake only. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g" Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building Re-Inspection KKK 5/2/2008 $68.00 S22008000 Total $68.00 BLD2008-00516 Please referto the following pages for conditions of this permit. 1 of 2 o CONCRETE MECHANICAL MANUFACTURED HOME > C) Footings 1 Setbacks Date By Ribbons Gas Piping o Interior Date By Interior-Date By Date By N - Exterior Date By Exterior-Date By Set-up C INSULATION D Point Load J Isolated Footings Date By r BG i SLAB INSULATION D FIRE DEPARTMENT Date By Data By cn Foundation Walls Floors Date By G Date By Data By DECKS m F RAM I NG Walls Date By O Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type: ' Date By Date By Data By D.W_v DRYWALL Type: Int.Brace Wall Date By W Date By Date By FINAL INSPECTION 0 w Water Line Fire Seperation IVC Date By Date By Date By p m tb Pass or Request Inspect. c Type of Insp. Fail Date Date Dane By Comments CD a 0 CD v N O 8 a 0 o I CD m O 220 Steelhead Drive BCC2007-00122 BLD2008-00516 Compliance inspection 5/7/2008 .` 4X q 4 PtY pY . b { '@ t 1Y a. � tiq XMI b A Compliance actions to be done to close case: 1)All plumbing and fixtures to be removed or capped off 2) RV cover to be removed .. � r Owner was told that structure to be used as storage only. Current size is roughtly 120 sq. ft. OEM . ,, 44 ic r ,r ti r. F Y s t gt.'.=�. }+�y,.�r L t � � � f.�y'''{{i''"""___"� '^+r��„,,���'F`�V� �*'•1� pr ��Jz.- ` :;��t� ix iY a �J, 4u.Al` _ c..._. J 4 4 os Alk t 14 tr+ � w '} t A L g x oo .per M w r 9 . ,.; ,. t y Case Activity Listing 12/4/2008 2:25:22PM Case#: BLD2008-00516 i Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA010 Application Received 5/2/2008 5/2/2008 None DONE KKK 5/2/2008 KKK BLDA500 Issue Building Permit 5/2/2008 None DONE MB 5/2/2008 MB Issued for compliance inspection. $68.00 fee paid. BLDC100 Inspection 5n12008 None FAIL TFR 5/8/2008 MB Compliance inspection conducted. Second story of structure removed and now 120 sq.ft.Plumbing visible,owner was told to cap off and remove all plumbing fixtures.Structure OK to use as storage only. Remnants of a kitchen left,no appliances visible.The awning which was attached to the building was still up and currently laying on top of the RV.Told owner to remove. Once plumbing fixtures gone and RV cover removed another compliance inspection should be conducted. BLDA920 Miscellaneous Action 5/8/2008 None DONE MB 5/8/2008 MB See BCC2002007-00122 for more information. BLDA900 Telephone Call 6/2/2008 None DONE MB 6/2/2008 MB Compliance inspection scheduled for Tuesday,June 10 between 9 and 9:30 am. onfirmed with Graciela v' 0 �242 BLDC155 Final Inspection-Passed 6/10/2008 None DONE TFR 8/29/2008 MB Page 1 of I CaseActivity..rpt 1904599 MASON CO WA 08/30/2007 12 34 PM OCD ZAVALA B C11111S *11731 Rec Foa. $41 00 Pages: 2 IHIIII IIIIII VI IIII II�III tl�Il IIII IIV Iilll III1111 i�IIIiI iilV 1111 IIII AFTER RECORDING MAIL TO: \�> i AVIT .�.............. Nam Scycro igph Zayala& EXCISE TAX Address 220 NE SWellwad Dr. Sojilb G 3 0 2007 City,Sjgtq, i WA 98528 EXEMPT LISA FWIER Filed for Record at Request of: Michael W.Cnwmw Treas., Mason County QUIT DEED THE GRANTOR(S)Mlehael W.C for and in consideration of love an conveys and quit claims to Zavala&Graciela Serrato Cisneros the following descn3ted in the County of Mason,state of Washington,together;with all after acquired title of the s)th legal Description(Altb bat): t 2 SP2405 and Lot 3 SP2406 Additionallegal(s o � Sub'J to ti �ons,Reservations,Cava►ants and Eesements of Record. Assessor Tax Parcel/Account Number: 222325 44 92002&22336-11-90003 O r t of Washington: ) )SS County of 1\lJe,,0-0 ) I oatify that I know or have atiafictory evidaxe that 1 C. Q l� Cr wyw (q..) the paaan(s) who appeared befaty me, sad said paaoa(s) admowledged that ) aignad this mahmnaat lad acknowledged itt nto be@ fth ir)five and voturta y act far the us"and merAiotied in this insbu nant. q Dated: SSI ONi ,i Notary blic in and for the of elf o NOTARY 9m U ar. i My appointment expires: �i cfl '°UB0C' :2 irt9 r.g-08.•`�iOr Ott 0F`WASN�.r� EXHIBIT"A" Parcel 1 Lot 2 of Short Plat No. 2405, recorded February 17 der Auditor's File No. 582379, being a portion of the Southeast quarter n ,Township 23 North, Range 2 West,W.M., in Mason County' shi on. Parcel 1-A An easement for road and utilities, as de delineated in Short Plat No. 2405, recorded February 17, 1994, under Auditor's File No. 582379,being a portion of the Southeast quarter of Section 25, Township 23 North,Range 2 West, W.M., in Mason County Washington. Parcel 2 Lot 3 of Short Plat No. rded February 17, 1994, under Auditor's File No. 582380, being a po o rtheast quarter of Section 36, Township 23 North, Range 2 West,W , in so County, Washington Parcel 2-A An ease t road and utilities, as described and delineated in Short Plat No. 2406, recur Fe 17, 1994,under Auditor's File No. 582380,being apportion of the No art of Section 36, Township 23 North,Range 2 West, W.M., in Mason COun ashington. 1904599 Page 2 of 2 08/30/2007 12:34:49 PM Mason County,WA 1 6CC200-7 — 00 c z2r 2 Z3Z5 - qq - qUO - u, , • CO . . ti r � AL ti ostage $ 4 O efted Fee . O Retum 2.68 Receipt Fee (Endorsement Required) rJkA, O Restricted Deliver Fee 16 (Endorsement Required) He (Q� O CID ru T + J o ser IMIC C. 1N1 1IAE1, 'R l,'1 o SEVERO TA PIA % S#1 r2 20 N STEELHEAD DR SOt1'T ' e C„iq B E L FA 1 R WA 98528-9486 Complete items 1,2,and 3. item 4 if Restricted p Also complete ' • Print Your n elivery is desired. A. Signature s that W ame and address on the reverse X A s can return the card to S�, ch this card to the b You. lLJ or n the front ifs back of the mailpiece, B•�Recely�b Agent Pace permits. /� Y P to Naa1e� Addressee 1• Art le Addressed to: C P C• Date of Delivery D. Is delivery add If YES, reiv diffe rent from item 1? ❑yes M IC'HA E L enter delivery address below: C/O SEVERO Ap CRUMAER No 220 N STEELHEAD DR SOUTH BELFAIR WA 98528_9486 3 ice We rtified Mail egistered Express Mall ❑InsuredReturn Receipt for Merchandise 4. Rest 2. Article "lumber Mail ❑C.O.D. (1ransferirom service Labe7004 (Extra Feel PS Form 3811, Februa 9 7 0 0 4 2510 ricted Delive� Yes ry2oo4 ���2 627g 5999 13 Domestic Return Receipt 102595-02_M_1540 2 2 325—4 L4 - a ZDO 2-- BCC-,20cD 0 0(Z2 r.. -1 DATE --f z NO. Fs RECEIVED FROM +ON � e /4— l P ,r*41 ervice UjDOLLAR ' U eFOR QFOR RENT / J ! J � CI � G[ tIt' � 47��b A.L �r D , 2 LUFROACCOUNT OCASH f, 3 �jz M i TO PAYMENT 'CHECK `� _ 4 BAL. DUE CAE BY r � - in. 5 �S r�y .„ ............... .. .. �. 6 ._. '�,V SECURITY DEPOSIT. Lessor acknowledges receipt from Tenant of the sum of �� ) 7 deposited in a trust account in r which is being �� _ �I ��%Slt / Bank, 8 i �— Branch,m' zip G� �5 r � y� WA. Lessor or Lessor's 9 V) Broker will give written notice of any change in Said depository.This deposit is security for performance of Tenant's obligations 10 CV pursuant to this Agreement,including but not limited to payment of rent,and to indemnity Lessor for damages to and cleaning 11 AA— of the Property for which Tenant is responsible. 12 A written'Move In/Move Out Inspection Agreement"describing the condition and cleanliness of and any damage to the 13 Property and furnishings will be signed by Lessor or Lessor's Broker and Tenant upon commencement of tenancy and a 14 4 written copy given to Tenant. NO SECURITY DEPOSIT MAY BE COLLECTED UNLESS THIS CHECKLIST IS COMPLETED. 15 NWithin fourteen(14)days after termination of tenancy and vacation of premises(or abandonment of premises),Lessor will give 16 Tenant a full and specific statement of the basis of retaining any of the deposit and a refund of any portion due Tenant, 17 addressed as Tenant directs or in the absence thereof,to Tenant's last known address.If the deposit is insufficient to 18 reimburse Lessor for such damages and cleaning,Tenant agrees to pay any deficiency on demand. 19 POSSESSION. In the event Tenant fails to take possession on the date indicated below,Tenant agrees to pay rent for the 20 S-- number of days the Property remains vacant. If,through no fault of Lessor or Lessor's Broker,Lessor cannot deliver 21 possession of the Property to Tenant on the date indicated below,Lessor shall not be liable to Tenant for damages. 22 3. TERM(Check one). 23 a.LEASE. This Agreement is for a term of � ( h 9 dtommencin on �• r ��,� "� 24 —�� This Agreement shall end at midnight on 25 /Y)�z1,- / 7—� J7 ,�, t�%/i Tenant must vacate the Property and surrender possession on the last day of the term. If Tenant holds over without 26 the prior written consent of Lessor,Tenant shall be liable for rent and all other damages sustained by Lessor because 27 of such holdover.If Tenant vacates prior to the expiration of the term,the security deposit shall be forfeited and Tenant 28 shall be obligated for the rental payments for the remainder of the term,or until the Property has been rerented, 29 i whichever is less. 30 ❑ b.MONTH-TO-MONTH. This Agreement is for a month-to-month tenancy commencing on 31 Lessor or Tenant may terminate this Agreement only upon written notice received by the other at least 20 days prior 32 to the end of each monthly rental period. If any such notice of termination is not received at least 20 days in advance, 33 then it shall not be effective until the end of the next following monthly rental period. 34 4. RENT. The rent is IX �} per month,payable in advance and due on or before the ;�first day day of each 35 month commencing orn the first month of the term.Each monthly rental period shall begin on the day rent is due.Rent shall be 36 paid ❑ to Lessor's Broker at the address shown below fN to Lessor at the address shown below.Lessor acknowledges 37 receipt of-j�/2 as the firs nth+y-re-nE 38 5. UTILITIES.Tenant shall pay all utilities when due except: water X sewer garbage❑ 39 6. OCCUPANCY/SUBLETTING. The Propertyl is rented as a pnv to residence only for a following named persons: 40 r�� 41 Tenants hill not assign this Agreement,sublet all or any por8rmlif the Property,6orgive accommodation to any roomers or 42 lodgers,without the prior written consent of Lessor or Lessor's Broker. 43 1 I 7. MAINTENANCE. Tenant will at all times maintain the Property,including any yard and lawn,in a neat and clean condition 44 f and upon termination of this Agreement will leave the Property in as good condition as it is now,reasonable wear and tear 45 excepted.Tenant agrees not to make any alterations or improvements to the Property without Lessor's prior written approval. 46 INITIALS: TENANT DATE LESSOR ' DATE ZL, �47 TENANT DATE LESSOR J DATE / 48 M f NWMLS Form No.68 ©Copyright 2002 Lease/Rental Agreement LEASE/ RENTAL AGREEMENT Northwest Multiple Listing Service Rev.9/02 ALL RIGHTS RESERVED Page 1 of 4 This Agreement dated �-,r-7 oc 1 is made and entered into between �-j�� �`�/` ('Lessor', 2 by and through his/her"Lessor's Broker'and (Tenant") 3 for the"Property"commonly known as G1 ! �L�G l`�Q films 117 /'d �ry F 4 in ( /f� �Y `jJ�j� County,Washington. 5 If this Agreement is for a term of more than one(1)year,the legal description of the Property will be attached as Exhibit A. 6 1. SECURITY DEPOSIT. Lessor acknowledges receipt from Tenant of the sum of �j 4 ,which is being 7 deposited in a trust account in ZIj i 7-7 J 1, / ' ^� Bank, 8 Branch,in .�.��;���. ,WA. Lessor or Lessor's 9 Broker will givii written notice of any change in said depository.This deposit is security for performance of Tenant's obligations 10 pursuant to this Agreement,including but not limited to payment of rent,and to indemnify Lessor for damages to and cleaning 11 of the Property for which Tenant is responsible. 12 A written"Move In/Move Out Inspection Agreement"describing the condition and cleanliness of and any damage to the 13 Property and furnishings will be signed by Lessor or Lessor's Broker and Tenant upon commencement of tenancy and a 14 written copy given to Tenant. NO SECURITY DEPOSIT MAY BE COLLECTED UNLESS THIS CHECKLIST IS COMPLETED. 15 Within fourteen(14)days after termination of tenancy and vacation of premises(or abandonment of premises),Lessor will give 16 Tenant a full and specific statement of the basis of retaining any of the deposit and a refund of any portion due Tenant, 17 addressed as Tenant directs or in the absence thereof,to Tenant's last known address.If the deposit is insufficient to 18 reimburse Lessor for such damages and cleaning,Tenant agrees to pay any deficiency on demand. 19 2. POSSESSION. In the event Tenant fails to take possession on the date indicated below,Tenant agrees to pay rent for the 20 number of days the Property remains vacant. If,through no fault of Lessor or Lessor's Broker,Lessor cannot deliver 21 possession of the Property to Tenant on the date indicated below,Lessor shall not be liable to Tenant for damages. 22 3. TERM(Check one). �� 23 a.LEASE. This Agreement is for a term of C' //,^'�;.,/-7 f�jcommencing on - , / f 24 This Agreement shall end at midnight on /�C./i/ �_ j> %��� -� T� c:L!7'6,�/%+ 25 Tenant must vacate the Property and surrender possession on the last day of the term. If Tenant holds over without 26 the prior written consent of Lessor,Tenant shall be liable for rent and all other damages sustained by Lessor because 27 of such holdover.If Tenant vacates prior to the expiration of the term,the security deposit shall be forfeited and Tenant 28 shall be obligated for the rental payments for the remainder of the term,or until the Property has been rerented, 29 whichever is less. 30 ❑ b.MONTH-TO-MONTH. This Agreement is for a month-to-month tenancy commencing on 31 Lessor or Tenant may terminate this Agreement only upon written notice received by the other at least 20 days prior 32 to the end of each monthly rental period. If any such notice of termination is not received at least 20 days in advance, 33 then it shall not,be effective until the end of the next following monthly rental period. 34 4. RENT. The rent is t"%S• per month,payable in advance and due on or before the X first day ❑ day of each 35 month commencing n the first month of the term.Each monthly rental period shall begin on the day rent is due.Rent shall be 36 paid ❑ to Lessor's Broker at the address shown below fS to Lessor at the address shown below.Lessor acknowledges 37 receipt od z-W r as the firs t /���/��� r%%�` 38 5. UTILITIES.Tenant shall pay all utilities when due except: ❑water X sewer tS garbage❑ 39 S. OCCUPANCYISUBLETTING. The Property is rented as a private"residence only for the following named persons: 40 41 42 Tenant shall not assign this Agreement,sublet all or any porlbon of the Oropeft,6w give accommodation to any roomers or 43 lodgers,without the prior written consent of Lessor or Lessors Broker. T MAINTENANCE. Tenant will at all times maintain the Property,including any yard and lawn,in a neat and clean condition 44 and upon termination of this Agreement will leave the Property in as good condition as it is now,reasonable wear and tear 45 excepted.Tenant agrees not to make any alterations or improvements to the Property without Lessor's prior written approval. 46 INITIALS: TENANT DATE LESSOR- ��/ DATEZZ - l TENANT DATE LESSOR DATE 48 1 ��Os CO& s r MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street -- PO Box 186, Shelton, WA 98584 1854 www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 January 9, 2008 NOTIFICATION OF CONTINUED MASON COUNTY CODE VIOLATION Severo T. Zavala Et Al C/O Graciela S. Cisneros 220 N. Steelhead Dr. South Belfair, WA 98528-9486 RE: Mason County Building Code Violations Site Address: 220 N. Steelhead Dr. South, Belfair, WA Legal Description: S1/2 SE SE Tr 2 of Sp #2405 Parcel No.: 22325-44-92002 The receipt of this notice shall constitute service regarding notification of a continuing violation of the Mason County Code, Title 14, Building and Construction. According to the Mason County Assessor records you are the Title Owner and Taxpayer of this parcel. Enforcement Case File No.: BCC2007-00122 The Mason County Department of Community Development, Building Division, has an open enforcement case against the above listed parcel for illegal construction and occupancy of a two-story structure and RV cover. As a result of the initial complaint, dated June 25, 2007, staff from this office attempted a site investigation. We were unable to access the site due to a locked gate. Two other attempts were made on July 19, and again on July 31, 2007, and were unable to access property. A letter was sent to Mr. Zavala on July 20, 2007 asking for permission to access property to verify complaint. I met with Mr. Zavala and his daughter, Graciela at our office to discuss the letter and permitting process and the illegally constructed 2-story structure and that it must be removed or permitted. Mr. Zavala (throught interpreting through Graciela), stated that he was going to remove the structure. We discussed a � I timeline and agreed on 90 days. He was informed that he must have a compliance inspection to verify that the structure was removed. He also stated that he plans to construct a home in the future on the property. He agreed to the conditions and was to contact me when the structure was removed. To date, no response from Mr. Zavala or compliance action taken. Pursuant to the Mason County Code, this department may issue civil infractions when a violation of Title 14, Building and Construction Code, occurs. Additionally, Title 15 of the Mason County Code also allows for the case to be heard and penalties assessed according to Section 15.13 through the Hearings Examiner process. Current violations consist of the following: Illegal construction and occupancy of two-story structure and RV cover without issued permits or approval as per Mason County Code Title 14, Chapter 14.08.030. To bring your site into compliance, you must: 1. Submit for building application, and submit site plan, floor plan, building plan and septic records and obtain all necessary approvals for permit issuance. 2. Immediately cease all and any occupancy of illegal structure until approved by Mason County. 3. Call for compliance inspection if structure has been removed. A $68.00 violation fee is due prior to scheduling inspection. 4. Submit all materials prior to January 28, 2008 or a Stop Work and Do Not Occupy Notice will be posted along with a certificate of non-conforming structure to be recorded against the property. Failure to provide the information as previously requested prior to January 28, 2008, will result in enforcement action as allowed for by law and as noted above. In the event that you feel you have received this notice in error or that the facts are inaccurate, I strongly encourage you to contact me immediately to discuss your concerns. If not, I will expect the permit issues to be resolved by January 28, 2008. If you should have any questions, I can be reached by phone at (360) 427-9670 ext 356. Failure to comply with this notice will result in additional enforcement action against you. Sincerely, Mindi Brock Building Inspector/Code Enforcement Cc: Property File r MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Mason County Bldg. III, 426 West Cedar Street PO Box 186, Shelton, WA 98584 185d www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269 July 20, 2007 Michael Crummer C/O Severo Tapia 220 N. Steelhead Dr. South Belfair, WA 98528-9486 RE: Mason County Building Code Violations BCC2007-00122 Site Address: 220 N. Steelhead Dr. South, Belfair, WA Legal Description: S1/2 SE SE Tr 2 of Sp #2405 Parcel No.: 22325-44-92002 To all interested parties: The Mason County Building Department has received a complaint that construction has taken place at the address listed above. Mason County staff attempted to complete a site investigation on June 26, 2007 and again on July 19, 2007 to determine if this is a valid complaint, we were unable to gain access due to gated driveway. As to date, our records indicated that no building permits have been issued for this parcel. The parties shall respond to the county within twenty days of the postmark or prior to August 6, 2007 to contact our office to resolve this issue. Failure to make the necessary arrangements by August 6, 2007 and any continued construction or development without permits issued by Mason County will result in additional enforcement action. If you feel you have received this notice in error, please contact me immediately at (360) 427-9670 ext 356 to discuss your concerns. Sincerely, Mindi Brock Building Inspector/Code Enforcement Cc: Property File BCC2007-00122 ILLEGAL 2-STORY STRUCTURE/OCCUPANCY VIOLATION COMPLIANCE INSPECTION REQUIRED — $68.00 Fee due Severo Zavala— Owner Graciela Serrato Cisneros - Daughter Home: (360) 801-0743 Site address: 220 N. Steelhead Dr. S., Belfair Parcel; 22325-44-92002 Mr. Severo Zavala or his daughter, Graciela, might be coming in to the office to pay for a compliance inspection (see photos). He understands that a $68.00 fee is required for the compliance inspection prior to scheduling the inspection. I explained that he could come to the Belfair annex to pay for the inspection. If he does come in, a "dummy" BLD permit will need to be created for intake purposes. I know you know that, just wanted to give you a heads up that he might be coming in. He doesn't speak English very well and he probably won't have the paperwork he needs as well. Please create a dummy building permit and in the description just put, "case created for compliance inspection". Once the fees have been paid, I will contact him to schedule the inspection as he has to unlock a gate to access the property. Contact me if you have any questions. Thank you!!!! Mindi x 356 - /' �7) OCL200-7 - 00(22-, SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also Complete A. Signature item 4 if Restricted Delivery is desired. X ) ❑Agent ■ Print your name and address on the reverse 1 ❑Addressee so t that we can return the card to h you. B. Received by(Printed�Name) C. very ■ Attach this card to the back of the mailpiece,or on the front if space permits. 1. Article Addressed to: D. Is delivery address diff l� If YES,enter delivery address below: Qf No D E:V E r(-) T 7A L ALA 1-:"I' n t_ jl C;U GR:\011 A A S C'IStiFR0S 220 N Sl F FLHEAD DR S01 '1 11 3. Service Type BE1_FAlR WA ' 523-9496 -101 rified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) 7007 1490 0004 6441 4724 PS Form 3811,February 2W4 Domestic Return Receipt 102595-02-M-1540; i