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EVERETT QTY CLERK <br /> 3002 Wetmore Avenue <br /> Everett, WA 98201 <br /> (206) 259-8610 WL <br /> REQUEST FOR RECORDS <br /> Ordinance 313-74 as amended by Ordinance 1322-87 established a method for requesting copies <br /> of public records,designated exemptions and provided for fees.These ordinances support the <br /> concept of public disclosure promulgated under Title 42 RCW. <br /> The fee is set at$.2frper page.This fee is set by the Everett City Cleric to include costs for <br /> research and copying. <br /> All requests for public records must be in writing and provide the following: <br /> Business Name & Address: <br /> Requestor's1, Requestor's <br /> Printed Name: l/�totr� G,6p _,=�t?r )Cp Signature: e uC � <br /> Address: 17x15 /9 u� �.�. '3 Phone It: <br /> 2Date: <br /> Records Requested: F 1AZ11�?�rc�%GccP p l4 Y�i`cv eDtit 7 L�f� " <br /> �Ch9 / t/!�N) ��;D /�,�t/yC�lo ll�.l•P-c�rvlce�t '1�1 !�-Q'tivr.H� <br /> ------� — FOR OFFICIAL USE ONLY <br /> Received b• <br /> Kequcst to: ------ — �'----- --- <br /> Department <br /> Response Due <br /> Departinent receiving request: Please attach infonnation reilneste-d ar a statement as to why.tirc <br /> record is not being made available, and return this request and the information requesmd, or your <br /> statement of why you etre unable to provide the infonnation, to the Everett City,Clerk for issu- <br /> ance to the requesting party. <br /> ACTION TAKEN ON REQUE.41' FOR RECORDS <br /> Dc]ivctul: Datc:,�_/—�_-- No. of Pagc:3i lL?' Cerrif cd:_ __...._ <br /> Iixcatpr — _ lime /_� of Cnpics: L� "I•reasurer's R:ceipt,d 1*1i 13 <br /> Emptoycc.'s swig tture: <br /> M-..,.,......, .a.).w..�;«.....,.,.�,.a..a�...,.aii;.ia.....,..�1id.,.:s..,.t:,..a..c,w..:;....t....<«z,...:>.....«..n. .:..y�.+:_.FxwY`".is.T.::L'..�:_....,.,.....,..;.3 wi...fY�...>::..._. <br />