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,..�, ___..._. - � --__ _. .__�.� <br /> Y:;. <br /> � EVERETT CITY CLERK <br /> 3002 Wetrnore Avenue <br /> Everett,WA 98201 <br /> (206)259-8610 �`°" <br /> - _ _ REQUEST F�JR 12ECORDS <br /> Ocdinance 313-74 as amended by Ordinance ]322-87 established a method for requesting copies <br /> of public recorcis,designaud exemptions and provided for fees.These ordinances support the <br /> concept of pubL'c disclosure promulgated under Tide 42 RCW. <br /> The fee is set at$.25 per page.This fee is set ty the Everett City Clerk to include cosu for <br /> resea�h and copying. • <br /> All requesu for public records must be in writing and provide the following: <br /> Business Name&Address: �IG✓1 �� U I N'1a�1 <br /> Requesto�'s '(f ( Requesto�'s <br /> Printed Name: I`�C..� ��U i ''11Rh Signanue: <br /> Address: .�� � � �1^0+'Y�CV' 7'I V�f _ Phone#: .��11' ^ � 7 7 � <br /> C � Y' ��_ Date:��-�� 2—_ <br /> RecordsRequested: V IO�ns `�oY �VAYp�ot1t �V�,�j( 30�� �ro+�[^ 'r�lK <br /> ' til� p���S � 3 � 1 °� o <br /> -T <br /> • ---- - - - --v FOR OFFTCIAL USE ONLX <br /> 1 <br /> Reqaesc to: ' Received by: <br /> : Depart�ent <br /> Response Due Date: <br /> Department�ceiving mques� Please attach information requestedora statement as to why tha <br /> tecord is notbeing made available, and retun�.this reque�t anc�the inforniadou�qaested,'or your ' <br /> sratement of why yoa are unabie co provide che infocmarion, to tha Everett City Cierk for issu- <br /> ance to the zequestingP�Y. ` <br /> -- -�---ACTION T KEN ON REQUEST FOR RECORDS <br /> Delivend:_ Date: �'.�--� No. of Page,s:� Certified: <br /> < <br /> Ezemp� Time: I�Ia of Copics:_ Treasurefs Receipt#:1/�G'� ' <br /> : �f�f <br /> ., ' , � <br /> Psa�Ioyee's Signatu�: ���.t L'�+.e:� ��/�'� <br />