PDFWAC 140-12-070
Adoption of form.
The corporation hereby adopts the following form for use by all persons requesting inspection and/or copies of public records:
. . . . Name of Applicant | ||||
. . . ., Mailing Address of Applicant | . . . . Phone Number | |||
. . . . Date Request Made at Washington State Convention and Trade Center | . . . . Time of Day of Request Made | |||
Nature of Request: . . . . | ||||
. . . . | ||||
. . . . | ||||
. . . . | ||||
Description of Record Requested: . . . . | ||||
. . . . | ||||
. . . . | ||||
Said Records Have Not Been Requested to Provide Access to Lists of Individuals for Commercial Purposes. | ||||
. . . . Signature | . . . . Signature (please print) | |||
Request: Approved | . . . . Date | By. . . . | ||
Denied Date: . . . . | ||||
Reasons for Denial: . . . . | ||||
. . . . | ||||
Referred to. . . . | . . . . Date | By. . . . |
[Statutory Authority: RCW 42.17.250. WSR 83-06-035 (Order 2, Resolution No. 10), ยง 140-12-070, filed 2/28/83.]