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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 />Date: !��p� <br />Requestor's <br />Printed Name: <br />Business Name: <br />�c 5 <br />and/or <br />Address: _ `�/ `/� ,j � � e-mail: <br />e P e� � lit�� 2U <br />Phone No. �� 3�`f 3'd Note: If your phone has a block on rt we <br />cannot contact you. Please c�ntact us aF.er <br />� five business days. <br />Allow me to: —inspect /—� request a copy of the following records. <br />Please be specific. <br />If record(s) concern individual(s) other than requestor, please state. <br />Is/are the requested record(s) to be used for commercial purpose: <br />Yes No <br />