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CITY OF EVERETT <br />PUL3LIC DISCLOSURE REQUEST FOR INFORMAT[ON <br />Phone:(425)257-8610 <br />Requesror's � <br />Printed I�ame: <br />Business Name: <br />Fa:: (425) 257-8741 I930 Wetmore Ave, Everett, WA 98201 <br />S.1 S per page fur costs of copying (Title 42 R. C. W.) <br />and/or <br />� � �.� r I � / ,� . � <br />Phone No.: Note: If your phone has a block on it we canaot contact you. <br />Please contact us after five business days. <br />AIIow mc to: �nspect �uest a copy of the following records: Please be speci6c. <br />If record(s) concem individual(s) other than requ;stor. Please state. <br />Is/are the reyucsted record(s) to be used for s commercial purpose? <br />� <br />Ycs `No <br />