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CITY OF EVEREiT <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> Records Department Phone: (425) 247-8918 Fax: (425) 257-888Z <br /> 3200 Cedar St,, Everett, WA 98201 <br /> Date: L%� �r' :1 'i' :1 c�c7 `7 <br /> Requestor's <br /> Printed Name: ���;�>c'.,/ -Sc�.Zy1�:.% <br /> and/or <br /> BusfnessName: /�/�N �u/�C,/J��� /JT���+�� �/ <br /> � 7 <br /> Signature: �'' �✓.f^�-�-:�-�-� <br /> Address: E/y/; �l.ir,�//„/�po �1,/r� e-mail: <br /> , G�Y��,,5 T7� �� 9&�z o y — <br /> Phone IVo. `��� - 3 3 1- /��h � A�ote: If your phone l�as a block on rt ii�e <br /> cannot contact}�ou. Please contact us aRer <br /> five business days. <br /> Allovd me to: —inspecl / —/� request a co�>y of the following r�cords. <br /> Please be specific. <br /> _,�'F,2 �'�%i i ,ri[i s oF �' i� 'lL'�11L,�� Si�i � i� T 1��7 �1� 9 - <br /> �,�C// �!�.,//.� /o �.' A �? l7 I/"� a' /'-T 1 i� <br /> If record(s) concern individual(s) other than requestor, please state. <br /> Is/are the requesfed record(s) to be used for commercial purpose: _ Yes _ No <br />