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� � <br /> REO.UEST FOR RECORDS � , `�, <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established as method tor requesting copies of public <br /> records, designated exemptions and provided for fees. These ordinances support the concept of pubiic disclosure <br /> promulpated under Title 42 RCW. <br /> The fee is set at S.15 per page. This fee is set by the Everett City Clerk to include cos:s for research and copyinp. <br /> All requests for public records must be in writing and provide the following: <br /> Business N�n &_,Address: ����t-�NA��I^�'�'��. ll�Z`f /�7�G�Yu�cc �i�C�.J.%.�i/. +i-�� <br /> Requestor's �Q _�'. I Requestor's i3����9�6JT <br /> Printed Name �YK ��TP�— '�����f'�t�i' Signature i .. _ <br /> ddress: _1�1Z� 'e (S7d )NP.iri7,L�'r�tXL �Phone No. <br /> � (�} Date: <br /> Records Requested: �� /�l�Fs--� �1� �� <br /> i <br /> ^ S A� or <br /> FOR OFFICIAL USE ONLY <br /> � / � � <br /> P.equest to: J�� �� Received by: <br /> De rtment <br /> Response Due Date: <br /> Department receiving request: Please attach information requested or a statement as to why the record is not <br /> being made available, and retuni this request and the information requested, or your statement uf 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 Papes: � Certified: <br /> Exempt: Time: No. of Copies: _._Treas. Receipt No. /��/ 7 / <br /> �.._ �f <br /> Employee's Signature: ��� 4 /�.e'�5 <br />