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°✓VOGIZ - oo ) <br /> CITY OF EVERETT <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> FPhoae: )257-8610 Fax: (425)257-8741 2930 Wetmore Ave.,Everett,WA 98201 <br /> $.15 per page for costs of copying(Title 42 R.C.W.) <br /> Requestor's <br /> Printed Name: �1n9��N payl_ and/or <br /> Business Name: <br /> Signature: <br /> Address: ���- 1933 Sto,�Ur\ N,11 I9r, P,_v abv, 14C e-mail: P'i41V6TL @ rAI&V moi"1 <br /> V3N sE <br /> Phone No.: Note: If your phone has a block on it we cannot contact you. <br /> Please contact us after five business days. <br /> Allow me to: -inspect J request a copy of the following records: Please be specific. <br /> 14ye <br /> If record(s) concern individual(s) other than.requestor. Please state. <br /> Is/are the requested record(s) to be used for a commercial purpose? Yes No <br />