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� <br />� <br />CITY OF EVERETT <br />PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br />Records Department Phone: (425) 247-8918 Fax: (425) 257-8882 <br />3200 Cedar St., Everett, WA 98201 <br />Date: � " Z � �" � � <br />Requestor's <br />Printed Name: <br />.� C�` ��-�i� t�� <br />Business Name: ������ eL(/SS � ��1�/� <br />Signature: <br />Address: /�Z�.? �.�j7�%��1/f�. '�%�'"z...�r_ �Z�� e-mail: /(�D�/l�._ <br />—� <br />�A,�y�,�/� ��� ���7 � <br />1r� -- �G/ - 7� z o T/� . <br />and/or <br />Phone No. � - Note: If your phone has a block on it we <br />-za� �G'/ - 7/ 3.�, �� ; cannot contact you. Please contact us after <br />� five business days. <br />Allow me to: �`� inspect / request a copy of the following records. <br />Please be specific. <br />�,� �/,' � u�' -��-�-.�i� % o �� r� / �� ���� �/� ��-- S <br />�1i�'Z' �(� ('C���1� ,�2 �� <br />If record(s) concern individual(s) other than requestor, please state. <br />Is/are the requested record(s) to be used for commercial purpose: _ Yes _ No <br />