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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: (L,z 7 �oG <br />Requestor's G���` 1 n' A n l� t�r <br />Printed Name: �� ��� � " � \ and/or <br />Business Name: <br />Address: <br />Phone No <br />Allow me to: <br />�� I 5 �• J�l �(�� ILT�D �LV.� <br />c V� R� T'T,. t�v� 9�20� -/Y7� <br />e-mail: <br />�fzs �- �y �7- zc9 � <br />Note: If your phone has a block on it we <br />cannot contad you. Please contact us aRe� <br />five business days. <br />—inspect / �quest a copy of the following records. <br />Please be spec�fic. <br />G�ri.7G� <br />If recor�(s) concern individual(s) uther than requestor, please state <br />Is/are the requested record(s) to be used for commercial purpose: <br />CD I1Le`r ��/ S� wte r� en•� <br />� <br />' � esid�n �tf ZC:C�/ b�,l�(cc�','I%o <br />__ Yes _ No �'�vD• <br />