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CITY OF EVERETT <br />PUBLIC DISCLOSURE REQUEST FOR INFORNIA'PION <br />(425) 257-8610 Fax: (425) 257-8741 2930 Welmore Ave., Ecerell. )s2o i <br />$.1 S per page for costs of copying (Title 41 R. C. H :) <br />Requcstor's <br />Printed Name: AJ 7 i , 1 •Nom S and/or <br />Business Name: <br />Address: <br />Signature: <br />c-mail: <br />Phone No.: 2L`C- C7151 ' _ Note: Il'your phone has a block on it we cannot contact you. <br />i>OC97% Please contact us alter five business days. <br />Allow me to: _inspect Y request a copy of the following records: Please be specific. <br />I f record(s) concern individual(s) other than requestor. Please state. <br />1 . All the requested record(s) to be used for a commercial purpose? _Yes X No <br />.JET <br />