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,a, <br /> EVERETT CITY CLERK <br /> 3002 Wetrnore Avenue <br /> Everett,WA 98201 <br /> (206)259-8610 <br /> REQUEST FOR RECORDS <br /> Ocdinance 313-74 as amended by Oidinance 1322-87 established a method for requesting copies <br /> of public records,designated exemptions and provided for fecs.These ordinances support the <br /> concept of public disciosure 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.11 requests for public cecords must be in writing and pravide the following: <br /> Business Name&Address: ,/� <br /> Requestors � �� � Requestor's <br /> Printed Namz,.._ ��r 1n.�.��-- Signature: <br /> Address:� �� SI�i,�.�,� .y.� Phone#:��? // � � <br /> Date: o / <br /> Records Requested: <br /> ----------- ---------------- ------------------------ <br /> FOR OFFICIAL USE ONLY <br /> Requestto' Received by: <br /> Deparanent � <br /> Response Due Data: <br /> Deparanent'neaiving nequesG Pkasc attach information myuested or a statement as tn why the <br /> record is not being made av;:ilahle, and return this reque�:and the informadon requested,or your <br /> ' statemenf of why you are unable to provide the informadon, to the Everett City Cler}:far issu- <br /> ance co th�requesting party. <br /> -------------------------------------------------------------------------------- <br /> > ACTION TAKEN ON REQUEST FOR RECORDS <br /> Delivered•_.._ Date: No. of Pages: Certified: <br /> Exempt: Time: No. of Copies:_,_._ Treasurer's Receipt#: <br /> I =Panployee's Signature: <br />