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Delivered: Date: <br />Exempt: _ Time: <br />Employee's Sign <br />REQUEST FOR RECORDS <br />Ordinance 313-74 as amended by Ordinance 1322-87 established as method for requesting copies of public <br />records, designated exemptions and provided for fees. These ordinances support the concept of public discloswe <br />promulgated under Title 42 RCW. <br />The fee is set at $.15 per page. This fee is set by the Eve-ett City Clerk to include costs for research and copying. <br />All requests for public records must be in writing and provide the following: <br />Business Name & Address: <br />Requestor's '—1 Requestor's <br />Printed Namee�Signature <br />Address: �&� Phone No. <br />FOR OFFICIAL USE ONLY <br />Request to: _ Received by: <br />partment <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 return this request and the information requested, or your statement of 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 />No. of Pages: Certified: r�� <br />Np. of Conies: _ f'reas. Receipt No. '/47& <br />