REQUEST FOR PUBLIC RECORDS | |||
Date . . . . . . . . . . .. | Time . . . . . . . . . . .. | ||
Name . . . . . . . . . . .. | |||
Address . . . . . . . . . . .. . . . . . . . . . . .. | |||
Description of Records: . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. | |||
I certify that lists of names obtained through this request for public records will not be used for commercial purposes. | |||
. . . . . . . . . . . . . . . . . . . . .. Signature | |||
Number of copies | . . . . . . .. | ||
Number of pages | . . . . . . .. | ||
Per page charge | $ | . . . . . . .. | |
Total charge | $ | . . . . . . .. |
Wash. Admin. Code § 335-06-060
Statutory Authority: RCW 43.200.070. 84-14-001 (Order 84-2, Resolution No. 84-12), § 335-06-060, filed 6/22/84.