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REQUESTFOR RECORDS <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established as method for requestinp copies of public <br /> records, desiQnated exemptions and pravided for fees. These ordinances support the concept ot public disclosure <br /> promulpated under Title 42 RCW. <br /> The fee is set at 5.15 per pape. This fee is set by ths Everett City Clerk to include costs for research and copyinp. <br /> All requests for public records must be in writing and prov�de the followinp: <br /> 8usiness Name & Address: <br /> Requestor's Requestor's • <br /> Printed Namen�•-7. � l! yy/_y� _Signature <br /> Address: �6� 7/���� Phone No. dZ.S � � <br /> Da[e: �� <br /> Records ReQuested: W�Y�-fL �/� -�� �� l.�a/.S ,BeL!/L 1�.(.L�L <br /> __—�- � ����c� �o`�� <br /> �i:cP��—�-[f2D� <br /> FOR OFFICIAL USE ONLY <br /> Request to: ,p� Received by: <br /> Depart nt <br /> Response Due Date: q d�1Q t�(.�I S '�O 1f�'Q C �Cbv�� @f <br /> Department receiving request: Please attach information requested or a statement as to why the record is not <br /> being made available, and return this request and the information requested, or your statement ot why you are <br /> unable to prov'de the �nforniation, to the Everett City Clerk for issuance to the requestinp patty. <br /> ACTION TAKEN ON REQUEST FOR RECORDS <br /> Delivered: Date: No. of Pages: Certified: <br /> Exempt: ,_ Time: No. of Copies: ,�Treas. Receipt No. _ � <br /> Empioyee's Signature: � <br />