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EYERETT CITY Q..ERK <br />3002 Wetrnoie Avenue <br />Everett, WA 98201 <br />(Z0� 259-8610 <br />REQUEST FOR RECORDS <br />�;,.�:, <br />�s° �,,: <br />.. <br />��5;,,,r» �. <br />Ordinance 313-74 as amended by Ordinance 1322-87 established a method for requesting cogies <br />of public records, designated exemptions and provided for fees. These orclinances support the <br />concept of pubL'c disclosure proznulgated under Tide 42 RCW. <br />The fee is set at $.2S per page. This fee is set by the Everett City Clerk to include costs for <br />�sea�h and copying. <br />All requesu for public records must be in writing and provide the following; <br />Business Name 8c Address: �N�-Gt�%¢� �' pnc�v 10r�c �p_ <br />Requesto�s Requesto�'s <br />PrintedName:_%j%Arz� SJ�or�r ./ Signanue`�'-- <br />Address: 30z0 �(x�or /��y #303 Phone#: 2.S'$' �y// <br />G=v�e�. G�✓.',�_ 9k2az Date: /o-/ 3� oz <br />Records <br />_�oc �a1� �i �� <br />FOR O�'F'IClAL USE ONLY ' <br />_ � ^JC3 \ 1i ��. S �}C"1_______. , �ZCCCI.FCC� b �� � �^ f t � <br />y r , ' � � �'� <br />Deparcment `,� ' : . ���' <br />�: <br />� <br />Deparmient'. <br />De2iveird� <br />7ate•; -���,�. /r�..Gx _�� <br />;iving.reqnes� Please atiach infoimation requeste;ii ara statemcnt as w why tbe ' <br />ng madc availab?e, and ret�w this iequcsi arid the in£armatiou �acsted, or yaur <br />y you aze unable to Frnvide the informarion; to the Bvereu City:Clerk for issu- <br />;sting Pai?y <br />ACTION TAKEi�! �N R�QUEST F(7R RECORDS <br />} <br />Date: t., t, r''? �� irTo. ofPages:�_ Certifir,d: <br />�'y` i n o, r ": <br />��Time; ="i� J'�t �r�e,rn Dio: of Cogies:�_ TiEasurcts Rcceipt �'�:' �"LZ'` �: <br />:: .. � 'f ,_. c ' . . . . <br />EmpIayec;'s Sig�atiu�: �' ,�.�'� , _ . <br />'� _ <br />