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CITY OF EVERETT <br />PUBLIC DISCLOSURE REQUEST' FOR lNFORMAI'ION <br />Phone: (425) 247-8810 Fax: (425) 257-8857 3200 Cedar St., Everett, WA 98201 <br />Date: _ �� Q 3 _ <br />Requestor's <br />Printed Name: <br />Business Name <br />Address: �i ��„ "l y� s <br />_ e-mail: <br />- �T ��-���G !.�- 5'�z 7 5 <br />Phone No.: ���� —� j�r (J Note: l( your phone has a block on it we cannot <br />contact you. Please contact us a(ter /ive business <br />days. <br />Allow me to: <br />be specific. <br />+nspect X request a copy o/i the following records. <br />'� '��-���� , j <br />t �,1/ 1 �--� � <br />� n�� /�—/��7'//c_, <br />If record(s) concem individual(s) other than requestor, please sta,e. <br />Is/are ihe requestEd record(s) to be used for commercial purpose: �Yes <br />No <br />���Z �O�/CU cj �C,r /� � �'� <br />�� ( <br />%��4n /��3 ��C��(�.�-� � ��`i l � <br />