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CITY O F EVE RE7T <br /> PUBLIC DISCLOSURE REQUEST FOR INFORMATION <br /> Records Department Phone: (425) 247-8918 Fax: (425) 257-8882 <br /> 3200 Cedar St., Everett, WA 98201 <br /> Date: ;��%c> �;' ;� y ����� r7 <br /> Requestor's � <br /> Printed Name: ���'�'��'��� -Sc%ZG,'��;,j and/or <br /> Business Name: �/, c>�� �'��)����� j1 Tr�,�.c� �/ <br /> Signature: �"' �//���-�—r�—�—� <br /> ✓ <br /> Address: �i�'/3 ��iz'tij/�/��%n �,/r� e-mail: <br /> , ���,� l 7 1��� ��'&_2 u� <br /> Phone No. `�/�" ' 3� %' - �'�'��r Note: If your phone has a block on it we <br /> cannot contact you. Please contact us after <br /> five business days. <br /> Allow me to: inspect / —� request a capy of the foilowing records. <br /> , Please be specific. <br /> —[�'_/-'�L s�/� % �i1l;s L��= <' � � i I7i��,%��.�� SiT�' s /' T � �/�3� �— <br /> �..�" 7 <br /> ��L// �1,�„/�� ��c�:� � ✓�� '��/:s"�2 ��' T >ti�,� <br /> If record(s) concern individual(s) other than requestor, please state. <br /> Is/are the requested record(s) to be used for commercial purpose; _ Yes _ No <br />