Laserfiche WebLink
CITY OF EVEf3ETT <br /> PU�LIC DISCLOSI��''� REQUEST F�R INF�'3RMATIdN <br /> Records Department Phone: (425) 247-8918 Fax: (425) 257-88II2 <br /> 3200 Cedar St., Everett, WA 98201 <br /> � ;�/ <br /> Date: / / J���� <br /> Requestor's �` <br /> Print�d Name: �`��'n`�c'� ��7z and/or <br /> l3usiness Name: �l-�f rL r7,v9 �FSCu;2(�i.f S <br /> Signature: ��/���/f �2� <br /> v <br /> i <br /> i <br /> � - � <br /> Address: �/SG� ��/�` G('cl` J�, %��o e-maiL• �',�Ti�4� C�v'��,- •- _ <br /> � � <br /> Y',:�� /� l_��=� r�a-o� <br /> Phone No. ")`��� " ����' ���� Note: Ifyourphone hasa block on i[� i,�e <br /> cannot contact you. Please contact��s <:�t�; <br /> five business days. <br /> Allow me to: —inspect / � request a copy of the follo�ving records. <br /> Please be specific. �/ � �-'l��'.t <br /> � <br /> If record(s) concern individual(s) other than requestor, please state. %�Y PulPa�� p-f e��P�s��7 :i,:;-t �iy <br /> tir�¢[-F2 �112)C� Gti'df -�G �q�s 0/'-Pc� .;�"°' ��Y�i <br /> Is/are the requested record(s) to be used for commercial purpos�: _ 1'es _ No � � : � ,a- <br />