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CITY OF EVERETT <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> Records Department Phone: (425) 247-8918 Fax: (425) 257-8882 <br /> � 3200 Cedar St., Everett, WA 98201 <br /> Date: /'f/�'�`.�d 7 <br /> Requestor's <br /> Prfnted Name: ��AKCSH k'. iy/Ofl�f-^� _ ar.d/or <br /> Business Name: <br /> Signature: ..�rn/�-� <br /> Address: _ �7/G-/U S {�, 5'�, S� ' e-mail: �/rm,�ti�c ��o�y„�;( . <br /> cm. <br /> �i��, !ti�/� y����F <br /> Phone No. �4�7 � 2 39-39/y . Note:If you�phone has� �lock on it we <br /> cannot contact you. P/ease contad us aRer <br /> fi�e business days. � <br /> Allow me to: —inspect / –�request a copy of the following records. <br /> Please be specific. �raw�n n i ir7� �i �• - ��c�n �Ji�»� <br /> ,7�° „���/- f� �3�60/- o�r8 � <br /> If record(s) concern individual(s) okher than requestor, please state. <br /> Is/are the requested record(s) to be used for commercial purpose: _ Yes _ Ne <br />