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EVERETT CITY CLERK <br />3002 Wetmore Avenue <br />Everett, WA 98201 <br />(206) 259-8610 <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 Tile 42 RCW. <br />The fee is set at $.25 per page. This fee is set by the Everett City Clerk 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: 1 in 9' • 6, 2 ,A c <br />Requestor's <br />Printed Name: Le, p (�y 1 �+ S �. 19 <br />S grtatures <br />T <br />Address: 1 )0 ii . (, 2.r-' Phone #:_Z�`_ 1 �c ? <br />Records Request <br />e' ') 7/e-7 <br />e �f ,,ram 9k7n Z Date: <br />FOR OFFICIAL USE ONLY <br />Request to: Received by: i <br />Department <br />Response Due Date: <br />Department receiving request: Please attach information requested or a statement as to why the <br />record is not being made available, and return this request and the information requested, or your <br />statement of why you are unable to provide the information, to the Everett City Clerk for issu- <br />ance to the requesting pLrty. <br />ACTION TAKEN ON REQUEST FOR RECORDS <br />Delivered: L Date: t' /7'i a No. of Pages: Certified: <br />Exempt: Time: No. of Copies: Treasurer's Receipt <br />Employee's Signature: <br />