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EVERETT CITY CLERK <br />3002 Wetmore Avenue <br />Everett, WA 98201 <br />(206)259-8610 <br />REQUEST FOR RECORDS <br />Ordinance 313-74 as amended by Ordinance 1322-87 established a method for requesting copies <br />of public records, designated exemptions and provided for fees. These ordinances support the <br />concept of public disclosure promulgated under Title 42 RCW. <br />The fee is set at $.25 per page. This fee is set by the Everett City Clerk to include costs for <br />research and copying. <br />All requests for public records must be in writing and provide the following: <br />Business Name & Address: <br />Requester's Requcstors it!G E " <br />Printed Nam1! e: i n T= �I t �kSON1 Signature: <br />Address: f 0 8 ,--3 ? q 7� ✓ Phone #: —Z <br />/ (^ — 1SJ 26 �j Date: `S <br />Records <br />✓�, <br />-- FOR OFFICIAL USE ONLY <br />Request to Received by:� . <br />Lparanent j <br />Response Due Date:__, <br />Department receiving request: Pleuse attach information requested or a statement as to why die <br />record is not being made available, and return this request and the information requested, or your <br />statement of why you are unable to provide the information, to the Everett City Clerk far issu- <br />;utce to the requesting party. <br />-- —� -- AC ION "TAkpKE%N ON I2LQUFST FOR RECORDS <br />Delivered:,____ No. ofPagcs: 9.— 'Certified:__— <br />ExernpL,_. � <br />�{ No. of ics: � Treasurer's R --eipt <br />Time: �i.: L2.-- (((I <br />~ (� <br />}::rnploycc's Signatun::------ <br />