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CITY OF EVERETT <br />PU[3L[C DISCLOSURE REQUCST FOR [NFORMAT[ON <br />Phone: (12� 257-8610 <br />Fa:: (425) 257-8741 2930 Wetmore Ave., Everett, �t'A 98201 <br />S.1 S per page for cos1; ojcopying (Tit/e 4l R.C.W.) <br />t:equestor's ` � <br />Printed Name: ��t �j � j'' ) CJ ' �(,t ,S 'C and/or <br />Business Name: <br />Address: yo� _/�%r ,�5� � f � o-mail: <br />�✓t�✓t'Tf �g�d � <br />Phone No.: .2 S 9 / �/S3 Note: If }rour phone has a block on it we ca�t contact }roa <br />Please contact us after frn busmess days- <br />AlIow mc to: � inspect _ roquest a copy of `he following recocds: please be specific <br />C� s'✓ � �� � ( e� 7-< <' RP y�� <br />yta�d� j� a s�• � PL <br />If record(:;) concem individual(s) other than requestor. Please state. <br />[s/are the requcsted record(s) to bc used for a commercia! purpose? Yes No <br />•) <br />