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3423 BROADWAY 2016-01-01 MF Import
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3423 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 5:52:07 AM
Creation date
1/24/2017 5:51:49 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
3423
Imported From Microfiche
Yes
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� � ' FORM G <br /> • CITY OF EVERETT <br /> ' Snohomish County, Washington ' ' <br /> UNSAFE BUILDINGS REFERENCE N�. 7�—3—a 2 <br /> STATE OF ZYASI�ING:'ON ) <br /> SS <br /> COUNTY OF SNOHOh1ISH ) AFFIDAVIT OF SERVICE <br /> The undersigned, being first duly sworn on oath, deposes and says: <br /> 1. That in and during all times herein mentioned, affiant was and now <br /> is over the age of twenty-one years, a citizen of the United States, a resident <br /> of the State oflFVashington and competent to be a witness herein. � � "' <br /> Z. That affiant served a full, true, correct duplicate original copy <br /> of the follo�ving described document: (Cross out inapplicable notices) <br /> (a) NOTICE OF UNSAFE BUILDING(S) <br /> !-1sL NOTTC'F C11i" �t2�,rsr�, n �r n� n ��� <br /> �� <br /> J <br /> _A T�T':'eT�'Gn'D'G"i\ <br /> • �^� N9'�'�E� 9�' GI� <br /> A cupy of which is attached hereto and by this referenee <br /> made a part hercin as though set forth in full herein <br /> upon each of thc follo�ving last kno�vn owner(s) of <br /> record of the building(s), or structure(sJ, or portion(s) <br /> thereof described in said document by the manner set � <br /> forth hereinafter: <br /> (a) PERSONAL SERVICE <br /> By delivering and leaving said copy with said owncr(s} <br /> at the place aad time set forUi l�ereinbelow: <br /> Owner Name Address Served Date Served <br /> �''r �,�' <br />
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