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Public Records Request Form

2. Supply as much information as possible.

4. Is copying requested?

   1. Yes
   2. No

6. I understand that if a list of individuals is provided to me it will neither be used to promote the election of an official or to promote or oppose a ballot proposition as prohibited by RCW 42.17.130. It is further understood that I will be charged 15 cents per page for all standard and legal sized copies and/or 13 cents per scanned page and $3 per CD.

8. Costs
   Standard<br> - 15 cents per standard page (8.5 inches by 11 inches; 8.5 inches by 14 inches; and 11 inches by 17 inches)<br> - 13 cents per scanned page and $3 per CD.<br><br>Large Format Copying<br> - 18 inches by 24 inches - $2 per copy<br>- 24 inches by 26 inches $4 per copy<br> - 30 inches by 30 inches $4.25 per copy<br> - 30 inches by 36 inches - $5 per copy<br> - 36 inches by 48 inches $8 per copy<br> - 36 inches by 60 inches - $1- per copy<br> - There is no charge to “inspect” public records.

   Standard
   - 15 cents per standard page (8.5 inches by 11 inches; 8.5 inches by 14 inches; and 11 inches by 17 inches)
   - 13 cents per scanned page and $3 per CD.
   
   Large Format Copying
   - 18 inches by 24 inches - $2 per copy
   - 24 inches by 26 inches $4 per copy
   - 30 inches by 30 inches $4.25 per copy
   - 30 inches by 36 inches - $5 per copy
   - 36 inches by 48 inches $8 per copy
   - 36 inches by 60 inches - $1- per copy
   - There is no charge to “inspect” public records.

10. E-Signature*

    I have read and understand this document

12. Address

14. City

15. State

16. Zip Code

18. Phone Number

19. E-mail Address*

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field