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»:... <br /> EVF.RETT CITY CLERK ,`�` <br /> 3G02 Wetrnore Avenue <br /> Evecett,WA 98201 <br /> (20�259-8610 <br /> � . _ _ REQUEST FOR RECORI)S <br /> � Ordinance 313-74 as amended by Ord+aance 1322-87 establishvi a method for:zquesang copies <br /> of public izcocds,designat�ezemp�ons and provided for fas.These ordinances support the <br /> concept of public disclosure promulgated under Tide 42 RCW. � <br /> , <br /> The fee is set at 5.25 per page.This fee is set by the Everett City Qe�c to include costs for <br /> isseanch and rnPY�B• - <br /> Al!isqaests for pnblic records must be in writing and provide the folloa^:ng: <br /> Business Name&Addccss: N/� � <br /> / — <br /> itequesto�'s Requestrn's <br /> Printed Name: �J1 i C 2 .�'�e.:�� t�� Signanue: �� <br /> Address: �z`4 �-Au� �- l- �'J� Phone#: Z�"i -7 3 8Z <br /> ��',� �� �-- 90��� Date: Z�/(o �9 3 <br /> I � T' <br /> Reeozds Requesud: G�2L r` c'c�� �� � ic � �tl�a��t,' <br /> . • / � <br /> . / <br /> /' �CQ� ' f 5'� /1lcc��,j,P <br /> ' � ° �OR OFFICIAL USE OPIt.Y . , <br /> c �;� .,S.�z �£� 'A' =q� "P�' 'h` �g� .yi, cti" `n , � � <br /> s � �+` F s <br /> RG�GCSL tf!`°' ; � ` �RGCCIVCa'� <br /> L <br /> ..a ;��PiYlt� ' a <br /> �s., �a <br /> ltei <br /> sponsc Due DatC. <br /> F � <br /> � '� �;, , ` ,, - ' . , ; . <br /> ., , .. . , > <br /> Uepartment�uuig X+CqneSG P2case anach mform�tion rtquestodaraswtc.a�c ss to why,tha <br /> ;iecozd is nqcixmg Tttedc available,andzc;itan this t�quest andi6�e mfat�nauoa zzquesud,ar:your : <br /> � :stateruent of why yaujare itnahle tn pmvide the info�aaoi:,tg thE Biraeu Ciry Cierk for issu <br /> ance to the ztquestingiPan}r. <br /> "-iICPLON TAKEI�t UN 12LQUEST FOR RECURi)S � <br /> DeIivered:`I 'Darcc ': No.ofPagosr Carified: <br /> Ei�mpt: ;Time: No. of.Capies:�..,_. Treasure:'sReceipt#: <br /> Empfoyee'sSignature; <br />