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• <br />�J <br />CITY OF EVEREIT <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: 7 '—� � — � � <br />Requestor's � <br />, <br />Printed Name: �1�� � - ��� and/or <br />Business Name: �G� � � 1� r(i'� ,L/7`s .� , <br />Signature: <br />Address: f��i'�� �T+F ��� _ o�� � ��� e-mail: ��� �T • <br />/�� ,�e ;/ ��a � <br />Phone No. °�� ��� ��� Z� Note: If your phone has a block on it we <br />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. �� ���� �% •' S �17� - �a - a�b '��— <br />�v��� , G� <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 />