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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: � /7' L (, / � i <br />T—T <br />Requestor's Ch Q1� � M <br />Printed Name: a/ <br />Business Name: <br />Signature: ��.�A .� M u� .��� <br />and/or <br />Address: �� :� � Pcr k,�.i �l��i,tJT �� e-mail: Mo ST L L C�TuNO •��M <br />On�u/� (,L)/� ��CG.S t) <br />Phone No. �a r`.� �- �O – I�I L� Note: If your phone has a block on it we <br />cannot contact you. Please contact us aRer <br />five business days. <br />Allow me to: —inspect /–.X– request a copy of the follow�ng records. <br />Please be specific. 2P c� �' U(?�_O � S� ��� %� – �. �. l <br />If record(s) concern individuai(s) other tha� requestor, please state. <br />Is/are the requested record(s) to be used for commercial purpose: _ Yes � No <br />