Form Center

Information Request Form

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. Other:

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.

    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.

    If you have questions regarding the use of this form, or regarding the disclaimer, please ask to speak with a PDS Records Specialist.

30. FOR STAFF USE:

32. Copies @ $.15 each

33. Large Drawings @ $2.00 each

34. Other @ $______ each

36. Total

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field