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H <br />� d o ��OdC <br />!� NOV 2 1 1989 <br />HW <br />'i1 H'i1 <br />....................................................................... <br />H rij REQUEST FOR RECORDS CITY OF EVERETT <br />H CITY CLERK'S OFFICE public Works Dept. <br />O H EVERETT, IIASHINGTON <br />ry Print \( <br />H Nafie J/f ���/�iv Signature—� <br />�yH <br />H Address <br />CCC G 7� pG Telephone <br />D.��� Numbery�s✓� �%6% <br />H 0 rA <br />Co <br />Records L / / <br />Requested / �C/5/l/1 ?//�S�C I% 7 �!✓� j� ��y / <br />Reccvd.t by Z Date �� o�O p Time -3 <br />Signature <br />_ - - - - - - - - - - - - - - - - - - - - - <br />`� ' 1 * * Request p Received <br />forwarded to �� .'-, ;.,.aFt By <br />nDepar en <br />Lf <br />_ ** Response Due Date <br />' 1 ** Department receiving the request should attach information requested <br />U or a statement as to why the record is not being dispensed and <br />return to the City Clerk for issuance to requestor. (Ord. 313-74) <br />�1 <br />ACTION TAKEN ON RECORD <br />' REQUEST <br />r ' Delivered_ Date - 7-Y No. Pages y Certified <br />Exempt _ Time No. Copies <br />Attachments��w ox. <br />'EjAplo s Sign. <br />