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EVERETT CTI'Y CLERK ,"� <br /> 3002 Wetmoce Avenue <br /> Everett,WA 98201 <br /> (20�259-8610 � <br /> REQUEST FOR RECORDS <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established a method for iequesang copies <br /> of publie xecords,designated exempdons and providecl for fees.These ocdinances support the , <br /> concept of public disclosure promulgated under Tide 42 RCW. <br /> The fce is set at$.25 per page.This fee is set by the Everett City Clerk to include cosu for <br /> resea�h and copyinb. <br /> All requesu for public records must be in writing and provide the following: <br /> Business Name &Address: Gr � r, ���. /��mT. <br /> � <br /> Rxuesto�s 'n Requesto�'s � � (� <br /> Ptinted Name:� - `., ►'-\ �',k� ,f � c�, Signature:-- . ` � � <br /> J � � ,�. <br /> A�?�-.^_�s:aa Z� �Clv4��tn��� LJ ca�� I ( I Phone#: �Z 9�\\��—�r� , <br /> �J�e-�sz-t�� t-c.�� � `I� '�"/ <br /> Date: '7 - �- '��" `13 <br /> Records Requested: �� �� <br /> FOR OF�'ICIA.L US� ONL� <br /> 2Zeqaest to: Fteceived by: <br /> !;Department - <br /> _,Rcsponse. Due Date: ` <br /> Departirient receiving ieqaesC Pieasc attacl�informauon requested or a staiemeut as tn why.the <br /> tecoidis aotbeing raade available, anciretnm this it:n�:est and the infoaiiation reqaested,or,your <br /> stafe,ment of why yon are unable:to provide the information,to the Everett C`ity C3erk for issn- <br /> ance to the zequesting paiiy. <br /> ^ ACTION TAKEPI O�' REQUEST FaR ItECORDS . ' <br /> DeIiveird: '„^ Date: No. of Pag:,s: Ceraficd: _ <br /> �Ze�p� `T'une:__,___.__�. No. of Copies:�.._ Tieasure='s Receipt#: <br /> FsnpIayee's_Sign sture; <br />