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2. Request Date:
   Request Date:
4. Name:*
5. Phone:*
7. Email:*
8. Fax:
10. Mailing Address:
12. Information Requested
14. Site Address:
16. Parcel Number:
18. Project Number:
20. Information Choices

    1. Commercial Building Permit File
    2. Residential Building Permit File
    3. Land Use File (e.g. subdivision/short plat/conditional use)
    4. Code Enforcement
    5. Mobile Home Title Elimination
    6. Other:
22. Please provide additional details about the records/information you are seeking:
24. Certification
    I certify that I understand that I am making a request to review documents in a paper file/microfiche file/electronic file, and that there are possibly additional documents not included in the paper file/microfiche file/electronic file. By checking this box, I certify that I understand that I can complete a separate "Public Record Inspection/Copy and Receipt Form." I certify that I understand that completion of the separate form will initiate a search for responsive records consistent with the provisions of RCW 42.56, the Public Records Act.
26. Signature
28. Questions
    If you have questions regarding the use of this form, or regarding the disclaimer, please ask to speak with a PDS Records Specialist.
30. SPECIAL NOTE DUE TO COVID-19:

    PDS strives to review and respond to inquiries within 5 business days. We are experiencing a higher than normal volume of requests and are working as quickly as possible to get you what you need. If you have already contacted us by phone or email, please DO NOT also submit this form as a duplicate because it may cause delays in responding to you. We appreciate your patience and understanding.

32. FOR STAFF USE:
34. Copies @ $.15 each
35. Large Drawings @ $2.00 each
36. Other @ $______ each
38. Total
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field