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CITY OF EV�RETT <br />PUBLIC DISCLOSURE REQUEST FOR YNFORNIATION <br />Records Department Phone: (425) 247-8918 Fax: (425) 257-8882 <br />3200 Cedar St., Everett, WA 98201 <br />D'ate: <br />Requestor's <br />Printed Name: <br />Business Name: � <br />-- � ; - —� <br />/ � ' /, <br />��C-LlQ !"�� � ��GC �� -- and/or <br />�.0 <br />Address: �� � G / 7 ' � ���� �_i _ e-mail: <br />Phone No.'�/ �S�- �-�-> -���'— Note: Ir' y�u� phone has a block en it ii�e <br />cannot contact you. P/ease contact us aRer <br />frve business days. <br />Allovd me to: <br />Please be specific. <br />inspecf /� request a copy of the following records. <br />C�6D� a�.2 <br />� C� o �I r� i� <br />If record(s) concern individual(s) other than requestor, please state. <br />Is/are the requested record(s) to be used for commercial purpose: _ Yes ;. No <br />!�� �,���i �� r��l,>l�•«� f;��,, J �>��;,,� CGC�c.� c.r�� <br />'ly'3� a- ��c�,�,� r�v�vGy -[`iC� <br />C '�.� �l �Crt. � I�� I�I�� V' 61I�Cti�G� l :(i�J:. . .� � f <<-:i1.IS. <br />/ ./�/ Li) i �('�'.� �� /!Li %�i, t. <br />�.-�` ' J - � i-i % <br />