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��_ <br />m <br />c� ^ <br />c� <br />7 H N <br />K � n <br />o � o <br />� M �q <br />y Ml� <br />¢N y � <br />°z � o <br />� �° �i <br />� H � <br />Fi H <br />N <br />H <br />O N <br />� W � <br />2 H N <br />H O N <br />;� <br />� � �1 <br />�� <br />�� i <br />EVERETT CITY CLERK <br />3pp2 Wermo� Avenue <br />Everett, �yA 9g201 <br />(206)259-8610 <br />R�QUEST FOR RECORDS <br />:� ,r � <br />, ,".s <br />Ordinance 313-74 as amended by Ordinance 1322-87 established a method for iequesring copies <br />of public records, designated exempdons and provided for fees. These ordinances support the <br />ccncept of public disclosure promulgated under Tide 42 RCW. <br />The fee is set at $.25 per page. This fee is set by the Everett City Clerk to include costs for <br />research and copying. <br />P.' ^�uesu for public records must be in writing and provide the following: <br />IIusiness Name & Address: <br />(�' i�- 3y��� Me pc4-��G s;. xy�z;�t>r,w�, <br />Requesro�s aD �IiT W�n/iA-n'l� Sign�ature:��4%1� � '��`•`;c`� '� <br />printed Name: r! r <br />/ � JJ'I 1y ���� _ Phone #: ?D6�� � ?�:, _ ? �'� c� <br />Address: 31 1 <br />1� <br />•�� ��.r�� �-�i� qY�3�/ Date: �i -// � �� <br />Records <br />v <br />� <br />�r <br />- � 7G /,� <br />____----------------- -------------- <br />EOR OFFICIAL USE ONLY <br />Request to: Received by: — <br />Department <br />Respoase Due Date: <br />Departinent rcc:eiving reques� Pkase attach informsuion requested or a statement as to why tt�e <br />tecord is not ixing made available, and return this myuest and the informnrion iequesred, or your <br />stacement of why you are unable to provide the infor. ��adon, to the Everett C�ry C1erk for issu- <br />ance to the requesting Part�'. --------- <br />Delivered:____ <br />EzempL' <br />ACTION TAKEN ON REQUEST FOR RECORDS <br />Date: <br />Time: <br />Employee's Signawre: <br />No. of Pages:_ �T�� <br />No. of Copies:_ T���'s Receipt #: <br />