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EVERETT CTfY CLERK <br /> 3002 Weanon Avenue <br /> Evesett,WA 98201 <br /> (20�259-8610 <br /> - , REQUEST FOR RECORDS <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established a method for tsquesting copies <br /> . of public iscocds,designated exempaons and providcfl for fas.These ocdinances suppon the , <br /> concept of public disclosuce promulgated under Tide 42 RCRI. <br /> The fee is set at S.25 per page.This fee is set by the Eventt Ciry Qe�3c ro inclu�e cosu for <br /> isseanch and copying. � ' <br /> All nquests for public tecords must be in writing and provide the following. <br /> BusinessName&Address: w "�. I�u�kU D�o�� — �t`'�-`^" �^ 'Jr"`� <br /> Requestots ,, Requestrn's <br /> Prinud Namo• / �e I� ���e �Y�c Signatuis: ..,. <br /> Addisss• ��� L(�,� �I b� o Phone#: ��'� �- S 1 1 - 3�' y v <br /> ��f�� � �--�� �l �'10l Date: �o � 7�'�S' 3 <br /> ' RCCOLdS RcquestCd: t�i� �..1 � � �-� r,....�,�' -�• �- <br /> r <br /> • :' ' �- a�OR�CFA�V�IG l:}ai� : ��. <br /> Y E <br /> S .: .. y 1� G � T ' T ..y ` 21.u'&v' S 5 <br /> F <br /> '�. n Y J � � . .. 9Y'�"$4.K �: .�e' \ f R <br /> „ '^ s� V <br /> �M�!V � . L C ' S �NrY���' t S 5 <br /> t r s <br /> �, Ikpatnaant : <br /> ' :.. . =>a,.:� a ' -� : <br /> � ; <br /> Response 13ut Date <br /> . :; ,> .: •: <br /> . � < <br /> I�aitmenrizcxivuigaqaesG P�ease stca�,ipfocmaaon roquost,Daara srdt�as to why<tbe` ; <br /> ieco":d�s ao�beurg rriadc;avaitable;',e�td sett�this re4uest and fhc mfaanatioa rzqaested,or your : <br /> statemen�of wtiy yan are iuiablc tn;pravis�e the iuformarion,m tht�vereu Ciry Cierk for issu- <br /> ance to the.requostingP�Y . <br /> � ACTION'TAKE�fQN'REQUESTFURRECORDS.. : <br /> ' Delivurd:` Dsoe: Na. of Pages: Cerdfied:' <br /> EtempC Time'. I�Ia. ofCopics:�; Tieasura'sReceipt#: <br /> EmpIoyec's iignacure: ' <br />