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2. 
3. Request for Public Records
5. Requesting Party
6. Date of Request
   Date of Request
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Fax Number
17. Email Address
19. Please provide as much detail as possible describing the records you are requesting. Failure to provide sufficient information to identify records may cause delay.
    I understand there is a minimum charge of $.15 per page for black and white duplication of requested records and addtional charges may apply for color, larger or oversided copies, maps, postage, packaging, etc. I agree to prepay duplication charges associated with my request by check or cash.
21. Options

    1. I would like to make an appointment to review the records indicated above before copies are made.
    2. I wish to have copies/duplicates of the records indicated above.
23. Once the copies/duplicates are available, I would like to:

    1. Receive them by mail
    2. Receive a call and I will pick up in person
25. Signature*

    I certify that information obtained through this request for public records will not be used for commercial purposes, per RCW 42.56.070(9).

    1. By checking this box, I authorize my signature.
27. Response
    Covington Water District shall respond to your Request for Public Records within five (5) business days of receipt of the request by providing one of the following: (1) the requested record; (2) acknowledging receipt of the request and providing a reasonable estimate of when to expect a response; or (3) deny the request and state the reasons for denial.
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field