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EVERETT QTY CLERK <br /> 3002 Wetmore Avenue <br /> Eve:ett,WA 98201 <br /> (20�259-8610 <br /> - . _ _ REQLTEST FOR RECORDS <br /> � Ordinancx 313-74 as amended by Ordinance 1322-87 established a method for iequesting copies <br /> of public tscoids,designated exempaons and provided for fees.These ocdinances support the , <br /> concept of public disclosure promulgated under Tide 42 RCW. <br /> , <br /> The fee is set at 5.25 per page.'Ihis fx is set by the Eveiett City Clerk to include cosu for <br /> cssearch and copying. . - <br /> All requests for public iecords must be in writing and provide the following: <br /> BusinessName&Addcess: i '.JCL�.—'=�ik�r1'�l.h� .',) �7'=1U0 3"zi��DAJE,V t:;l.���,!J((;,D <br /> RGIUCS[O�S RGQllCSt01�3�� � �� <br /> Ptintedl�T3a1C: �1 ��1 ti�� � _�_cl'� $lgnatuiC: � ,J✓��� .(J'��%/ <br /> Address: I�-7.�rC, >>:�r,o,tivc. V�1, _ Phone#: ��S- I'��� I <br /> � Date: -1 - �, -`=]� <br /> RecordsRequesud: k���r�if_�.- P��=;i�� ; �=i �_�- 1='c��, A��fi�-_��n�-V1 P,uc��C�l=� <br /> �. • <br /> i _FC�"Y'� I�'1^,�,1'l""PT'i iA i tl-1L= L-���U C�I- ;�-vt_1-11GI -I t�ijl�IC- <br /> �3 n ,r �c a S ta e �.-;:;w> sS �- .., xq x £': �: 'S�.Sy �a4 ��cx 3Y ;r t�'.# <br /> ��t.; sr�S �G�v�j;� 2 q f s.: s� ss���j'dsa '(�/� Tc �}►v q�'%"�� z,�2' ��`ET4�'r��.,�i� ?x 3"'r <br /> ..�, s -. 3 � » ��Ai V��J�7E Dt1�/A sk '�'a, a y� x4 k� ..Es r .a ': <br /> ., . .: -• :: _ : rs9 .a ✓ .s .o. w'¢ <br /> . >s <br /> P <br /> ,s:- . ♦ t x F! r..,i..t' rixu s'. <br /> h:Rainost to� ` Rcceive3 by N, ::z �. �:� , ;; <br /> , <br /> ' ` beparnuent �� <br /> , >;: , ' ': <br /> � <br /> � <br /> Responsc bue Aau: <br /> Departmene�Ctiving reqaCs�Pleasc attaCh infmmati0n rmqiiest+od.iiraistatement:ss to why;sLa � <br /> iecaidis noCbeing made aveilahte, eairizctima this izqvest aqdthe infonnaaoa Yeqnested,•or yaur i <br /> statemeni of why qov are iu►abl�ta pmvide tha iaforma6on,to the Eve�euC�ty t�erk for issu. . <br /> ance to the;requestinSP�'• ' <br /> _ ....-..— <br /> � " ACTION TAKEPY'OI�I 12EQUEST FaR I2ECflRDS� <br /> Delivecr.d:` ' Date:_L�'� No.of Pages: `� CanSed. � <br /> Eze Time: ' AIo.oE�opies:..:'�. Treasiutx`sRece�pt#:�; <br /> �— <br /> Etnployee's Signature: ����'e'' �/�" `' <br /> � <br />