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02012024-1200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 714) 765-5166 • fax (714) 765-4105 www.anaheim.net Request for Public Records Page 1 of2CityofAnaheim Office of the City Clerk STEP 1:COMPLETE all fields on this form. This form is to facilitate and expedite the processing of your public records request. Describe identifiable records in the possession of the City; your request must be sufficiently focused and specific to allow the City to locate the requested record(s). STEP 2:SUBMIT completed form by mail, fax, email or in person to Custodian of Records, Office of the City Clerk, 200 S. Anaheim Blvd., Suite217, Anaheim, CA 92805; tbass@anaheim.net fax: (714) 765-4105 STEP 3:WAIT to receive a response from the City. The City shall determine within 10-days from receipt of a public records request, whether the request, in whole or in part, seeks copies of discloseable public records in possession of the City GC 7927.535(a)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to make an appointment to return at a later date/time to view the documents. Charges for the direct cost of duplication will apply . Documents will not be copied until payment has been received. If payment is not received within 20 days after invoice is sent, you may be required to submit a new request. Please see backside for additional information. REQUESTER INFORMATION Full Name:Date: Company Name: Mailing) Address: City/State/Zip Code: Phone number: Email: Preferred method of contact in the event of questions: Lee Lee Truong-Sawicki 2/1/24 9:39 AM Self Anaheim/CA/92802 com714- Call DESCRIPTION OF REQUESTED RECORD(S): (Describe the specific public record(s) e.g., date, type, time period covering documents requested etc) Dear Anaheim Public works, May I request permit records for my home? I need these permits to renew my home insurance. I am unsure of when permits were requested for updates. The last home inspection was either 2005/6 or 1995/6. Roof permit Plumbing permit The information entered to request for public records is continued on succeeding page(s) I understand that I will be contacted once documents have been identified. If production of records is requested, an estimated cost will be provided to me and I agree that I will be required to submit payment for duplication costs (and mailing) prior to the production of the requested documents. Please note that information contained in any PRA request is a public record and may be subject to public inspection pursuant to the California Public Records Act. I wish to inspect City records X Will Pick-Up Records Electronically Signed/Submitted 2/1/24 9:39 AM SIGNATURE OF REQUESTER Please Mail 200 S. Anaheim Blvd., Suite 217 Anaheim, CA 92805 714) 765-5166 • fax (714) 765-4105 www.anaheim.net Request for Public Records Page 2 of2CityofAnaheim Office of the City Clerk DESCRIPTION OF REQUESTED RECORD(S)-Continuation HVAC permit Electrical permit Thank you.