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�,;<.. <br /> EVERETT C1TY Q.ERK <br /> 3002 Wetmore Avenue <br /> Everett,WA 98201 �,. <br /> (20�?.59-8610 <br /> _ REQUEST FOR RECORDS <br /> ' prdinance 313-74 as amendcd by Ordinance 1322-87�stablished a method for xequesting copies <br /> . of public records,desigaated exemptions and provided for fees.These ordinances support the , . <br /> conctpt of public disclos�ue gromulgated under Tide 42 RCW. <br /> The fee is set at 5.25 por page.Ttris fee is set by the Everett City Cledc to include costs for <br /> issearch and copying. � <br /> All reqnests for public iscotds must be ia wriw►g a'°d provide c�e following. <br /> Business Name&Address: <br /> ,6.Q,� � �,- � - <br /> PS <s�- ��-, <br /> Requesto�s n ,, . _• 'Requesto�s ' � <br /> PrintedName: �,4�Q I l.yill � Ft��l�signanue: <br /> Address: /Oo o WQ.� �• �-��--- Phone#: �S 8 -,6�-6( <br /> � �kho�$' io) � � _ Date: / �a7�`I3 � <br /> .� � <br /> Records Requested:�— � `�"�' �''� a.P.P ���-f" ,yaC�-c <br /> • � B2m � G� � C�Q�Q�� ?� <br /> �/ �� 0 <br /> - �J,�e.L�'1�!'1' , y�'����� <br /> ,�.F ; , � SE ONI.X , _ <br /> .., � rF� K ` i <br /> .e.3 s. u ..,o-� i <br /> ' .^�. 4 bS ( 9x i C �: �KYl�� <br /> ���W� � _ f�: <br /> . ` � ;s bepanment '� ` ; <br /> R�¢ <br /> „ . <br /> „ , .: . ,: <br /> < <br /> _ , ,.. . .. ..�� - <br /> ...: >,: . . .. . , . .� : < <br /> p,eqppnsC Due Date' ; ; �` : <br /> m x a . . . . . : �. : <br /> �' '�� " , ; , piease aciach uifinmauon reqnest�m'a statemeutas to why the � <br /> •Z7epaztmenc�vmg requtS�< i addific utfomauon zsqaes�ed,ve your : <br /> recoidas.riot�6eing►uadcavailable�audxetamthisze4� . < <br /> a.statemont o€why yau are unatile ta pinvtde the infonuazion,tQ the Ei�greu Ciiy'Qerk for issu <br /> =•ance to�the requestuig partY:� <br /> ' � : ACPId1Y TAKEPt UlV IL'�QUEST FOR RECORDS ` <br /> � rGv�d-2 pta�t Sk��z�s �; <br /> � ;DeIivend'_,._ Date:� No.of Pages;,�,�. . Cemfied <br /> LzemPL ` ' T'une: ' I�Ia. of Copies:�" Treasure�s,Receipt#: : <br /> ;F.�upIoyee"sSignature: — <br />