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f � <br /> CITY OF EVERETT <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> Phone: (425) 247-8810 Fax: (425) 257-8857 3200 Cedar St., Everett, WA 98201 <br /> Date: �� � � �/ �� <br /> Requestor's �` � /L � � � �---� ���C� <br /> Printed Name: T` I a d /or <br /> Business Name: / ° � � <br /> Signature: ' <br /> Address: �1 � O v ��1��1e— �� e-maili � <br /> �vGV�-I-{- � �U:�! �I b' ZD� ��vi h r <br /> L /' �-t-e � ;�et <br /> Phone Nb'."1�� �GIJ - `I Z� � Note: If your phone has a block on it we cannot <br /> ����� GI� 3��, �� I � contact you. Piease contact us aRer five business <br /> days. <br /> Allow me to: � inspect request a copy of the following records. <br /> Please be specific. <br /> � �C� � �'�i I ll!� l� , <br /> s i+� �LarUs <br /> I � <br /> rc-ce���� <br /> If record(s) concern indi�didual(s) ottier than requestor, please state. <br /> Is/are the requested record(s) to be used for commercial purpose: Yes �No <br />