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_'.��. <br /> , <br /> � <br /> REQUEST FOR RECORDS -f, {;;r,, <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established as method for requestinp copies af public <br /> records, desipnated exemptions and provided for fees. These ordinances �uppon the concept of public disclosure <br /> promuipated under Title 42 RCW. <br /> The fee is set at 5.15 per page. This fee is set by the Everett City Clerk to include costs for research and copying. <br /> All requests for public records must be in writing and provide the followiny; <br /> eusiness Name & Address: <br /> Requestor's /� RequestoPs � <br /> Printed Name�/e/I����1�����.___ Signature_ <br /> �,� �� ->��, <br /> Address: �(�(/. /y '�5'f. Phone No. 2,ti <br /> — .7�-8`J�7r2.- <br /> �vavc7`f. �/lL7 /��.20� � <br /> , Date: �-�-• `/'�, , <br /> Records Requested: <br /> FOR OFFICIAL USE ONLY <br /> Request to: ���,,,, Received b <br /> De�fattment Y� - �� <br /> 7 <br /> Response Due Date: <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 of why you are <br /> unable to provide the information, to the Everett City Clerk for issuance to the requestinp pany. <br /> ACTION TAKEN ON RFCeUEST FOR RECORDS <br /> Delivered: Date: No. of Papes: Certified: <br /> Exempt: Time: No. of Copies: �Treas. Receipt No. <br /> Employee's Signature: � -�y'� i <br /> a; � <br /> i�,,. <br /> x;-; � <br /> ...; <br /> t.-..- <br /> �_=`-- <br />