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EVERETT CTTY Q-�� � • <br /> 3002 Wetrnoro Avenue <br /> Eveiztt,WA 98201 ,.,. <br /> (20�259-8610 <br /> REQUEST FOR RECORDS <br /> Qrdinance 313-74 us amended by Ordinancc 1322-87 established a method fuc requesring copies <br /> . .. of public rocords,designatecl excmpdons and provided for fees. These ordinances support the . . . <br /> concept of public disclosure promulgated under Tide 42 RCW. <br /> The fee is set at$.25 per page.This fee is set by the Everett C`ity Cledc to include costs for <br /> �scarch and copying. ' � <br /> , All requests for public records must be in wririnB and provide the following: <br /> , <br /> Ilusivess Name & Address: � <br /> Requcsto�'s Requcsto�s l��T <br /> Printcd Name: �n r��� k I.H� �2¢�:� Signannc: � <br /> Address: CqD�2- �3�D R <br /> ,.� (,�,t S� Phone#: 3�/7 - 3 � S z- <br /> �Sna � (i�/�' Date: 7 � / L � S `� <br /> Recorcis Requcsted: ` <br /> . !-�'' — <br /> - ---- ----- F�OR O < �IC�AJ. USG ON'LY <br /> ' - < i <br /> Request to:��j�-�.�1�"' _-.- Rcccived by <br /> FX:p:utment <br /> ' Rcsponse I�ue D ite___._.:._..._._____�.__�_......�� - <br /> ` j7epaninent irceiving n-quesr. Please attach inPqrmation rec�uestccl ot a statemwt as to why.tl�G <br /> r;curd is not Ecing'maJc iivnilablc, aral cet�ir.i this tr.c�•c�t�nd tFc ia£crmatiou m,qnc..ted, or y^u-^ < <br /> ' s�teruci��of�shy y�u arc unable to pr�vide �5e in���rcn�uiun, ta the Even:ti c,'ity,Clc:rk for issu <br /> ;u�ce tu Uic ni�i�cstinu paLiy. <br /> -� -- , <br /> -- — ----- -- -- ,. <br /> ---� — -- ACTrON'C�1KEN ON"RBQUI`.S1 I�l][iIi�;C�FtI)S ' � <br /> /'' D:�tc:_..`'� ,�('' t�Ia. ofPagi.y:._� Cutificd. <br /> llC�l4'C[(:C�:__C!-. J�N' . �: .�. ' ., :' t <br /> ,� � '/�,-�' �I`ta. ot�Cop�es:� - Lz;:��urci', 3�„ct�pt4�.,��YO; <br /> F.xem�•,t_--.-- 'Limc;��"�4�. � . . <br /> :•..iiplGti,�c's �5i�nattue. O" - _ — — - — - - — - - � <br /> � � . : : . ` . � � ' � <br /> , __ <br /> _:., ::.,.. �....... <br /> _. .... ._. .. <br />