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0 <br />REQUEST FOR RECORDS <br />Ordinance 313-74 as amended by Ordinance 1322-87 established as method for requesting copies of pubic <br />records, designated exemptions and provided for fees. These ordinances support the concept of public disclosure <br />promulgated under This 42 RCW. <br />The fee is sat at $.18 per page. This fee is set by the Everett City Clerk to Include costs for research and copying. <br />All requests for public records must be in writing and provide the fallowing: <br />Business Name & Address: <br />Requestor's eqsmr'ss , � ems' <br />Printed Name <br />�R, R <br />�Ac ✓ rr✓ C. Goxs,� Signatureut r-�,-•. <br />Address: -t6 / 41(-" r Oz. A,A+VE Phone No. d1ZJ-' AC-- (a 3 Ne <br />Ai/F </1*_rs- "4, 5FV3 Date: HA)P, t S ? r <br />Records Requested: 4 ORr77FR f>_1W I IWICH-&XX C'dg%CAeAh 4/a <br />hw-tolf Di= N 0 L)BF <br />FOR OFFICIAL USE ONLY <br />Request to: Received by: <br />Department <br />Response Due Date: <br />Department receiving request: Please attach information requested cr a statement as to why the record is not <br />beinu made available, and return this request and the information requested, or your statement of why you are <br />unable to provide the information, to the Everett City Clerk for issuance to the requesting party. <br />ACTION TAKEN ON REQUEST FOR RECORDS <br />Delivered: Date: No. of Pages: Certified: <br />Exempt: _Time: No. of Copies: Tress. Receipt No. <br />Employee's Signature: <br />