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CITY OF EVERETT <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> Records Department Phone: (425) 247-8918 Fax: (425) 257-8882 <br /> 3200 Cedar St., Everett, WA 98201 <br /> oate: �/ -.� - U y <br /> Requestor's <br /> Printed Name: ��R 2 � ��l/�/ �R 1 5 �'il/ and/or <br /> $�sinessName: ��-L-��-- �GC <br /> Signature:, � <br /> Address _��D � .�,��c��C'/� l-I�F '/ e-mail: <br /> Phone No. � ��—�=`� � �•3��� Note:If your phone has a block on it we <br /> cannot contact you. Please contact us aRe� <br /> five business days. <br /> Allow me to: —inspect / �— request a copy of the following records. <br /> Please be specific. � I� r.� � rC 'L�iv 1-o�'Ft� i io �S/ i o �' � �r�1�1l��drnl! �l/-�'e <br /> �aG( � /-���r-_ (-� �� �, <br /> /=ii�=�'c il-� /,i,� - <br /> z , — <br /> If record(s) concern individual(s) other than requestor, please state. <br /> Is/are ti�e requested record(s) to be used for commercial purpose: _ Yes _ No <br />