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i. <br />CITY OF EVERETT <br />21 PUBLIC DISCLOSURE REQUESTFOR INFORMATION <br />Phone. (425) 257-8610 <br />Fax: (42�) 257-8741 2930 Wetmore Ave., Everett, WA 98201 <br />.S.15 per page for costs of copying (Title 42 R. C. TV.) <br />Requester's <br />��`� _ <br />Printed Name: < C1,(� and/or <br />Business <br />Address: <br />Phone No.: 2 j 31=�j Note: If your phone has a block oil it we cannot contact you. <br />Please contact us after five business days. <br />Allow me to: inspect _ request a copy of the following records: Please be specific. <br />jU1V ; -1013 L <br />CIVe <br />If rccord(s) concem individual(s) other than requestor. Please state. <br />Is/are the requested record(s) to be used for a cormnercial purpose? Yes No <br />C�ePles iva �. lVevl -}a ULz4dx_V <br />