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! Q <br /> C17'1' OF EVERET'C <br /> - PUBLIC DISCLOSURG RGQORST �OR IN2�ORRIATION <br /> Phour. (J?$) ?57-9G10 Pas:(425)257-R7d7 <br /> 29301Vclmorc.\rc., Iivcrett, \\':� J8101 <br /> SJJ per page jor cosls ojcop��i�ig (TiNe d2 R.C.1!') <br /> Rcqucstor's <br /> Prinlcd Namc: CG�f�j( ,�L�� <br /> � a��d/or <br /> Dusincss Name: <br /> ------_ <br /> S i gn;i ture:��m��l� <br /> Addre55: 3 ZZ j S�.D�__�1�v� <br /> — -�__ c-mail' <br /> �.�1C� �� 1,UA . ��.z� � --- ---- <br /> �-- - -�_ _� <br /> f'lionc No. ���5���_� (�Q �Votc: 1f yom plionc has a block un it we cannot couiact you. <br /> Plcasc contact us af�ar fivc busincss days. <br /> �Vlo�v i»e Io: __ inspect � request a copy of the lollo�ving records: Please be specific. <br /> - _ v A��� <br /> __-s�� ---- <br /> ----- � ���� — � � <br /> —}���j��L� I���S� (��� '�'a r' � o i o �-_�.�o <br /> \ --- -� <br /> S�o�2 �J�- — Y�e -roo��i�� �a ec'� <br /> � (' J <br /> If record(s)conccrn individu;il(s) othcr than requcstor. Please slate. �� .Q,t - <br /> - 5���r- <br /> Ls/arc thc rc��ucslcd recoid(s) to hc uscd for a commcrcial pu��posc? -- }-�y �_ Nii <br />