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REQUEST FOR RECORDS <br />Ordinance 313-74 as amended by Ordinance 1322.87 established as method for requesting copies of public <br />records, designated exemptions and provided for fees. These ordinances support the concept of public disclosure <br />promulgated under Title 42 RCW. <br />The fee is set at $.15 per page. This fee is set by the Everett City Clerk to include costs for research and copying. <br />All requests for public records must be in writing and provide the following: <br />Business Name & Address: <br />I rIC <br />Requestor's 1 t �C�1`_ U� Requestor' <br />Printed Name arlaytc 1� tl t f` y Signature C <br />Address: _ Pv ixv�_ 511E Phone No. 1R4 1811 <br />hog 0pa Whgi K'17-j-rr Date: <br />ff11 <br />Records Requested: Y'ZY n-,; 1 r Fz>t 2SaS �7'� ST <br />FOR OFFICIAL USE ONLY <br />Request to: tme Received by: <br />Department <br />Response Due Date: <br />Department receiving request: Please attach information requested or a statement as to why the record is not <br />being made available, and return this request and the information requested, or your statement of why you are <br />unable to provide the information, to the Everett City Clerk for issuance to the requesting party. <br />ACTION TAKEN ON REQUEST FOR RECORDS <br />Delivered: Date: No. of Pages: LCertified: <br />Exempt: Time: No. of Copies: _Z/__Treas. Receipt No. 12 4./0j 9 <br />Employee's Signature: <br />