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, - , <br /> � <br /> i�ORM G <br /> - , CITY OF l�V�:RETT <br /> Snohomish County, 1'Jashington <br /> UNSnl�]' P,U7LDINGS REl�RENCE NO. 7p_h_q __ � <br /> ! <br /> STt�TF. OF \4TASfiING1'ON ) • i <br /> COUNTY OF 5NOtJOMISI3 ) SS �*z'FjnAVIT OI' SEP.VICF � <br /> The undersigncd, bcing first duly s�vorn on oath, dcposcs and says: I <br /> 1, That in and during all times hercin mentioned, affi.urt was and now <br /> is over the age of twenty-one ycars� a citir.en of thc Uni.ted States� a resident <br /> oi the Statc of Washington and competent to Ue a witness herein, <br /> 2. That affiant servcd a lull� true� correct duplicate orisinal copy <br /> of ihe follo�ving described docwnent: (Cross out inapplicable notices) <br /> (a) N07'ICE Ol� UI�rSAFE L'UILbING(S) <br /> (d�tk x x r,x�k3:;ti��x9d�2 x&d�dn'AbOt�t Z�2+���:��5.���f 6 <br /> . Q�'x&'�Fid�Ackic�tdclskk�d�if'xKk�x�S�'x��39��PTSxFO'Rx <br /> �dk�k�Q3bdl�'rbt <br /> x x�aa)c x x x x�d�tiI k�d3 xp�2z�k��€c+a�X��RW�I gY%(XRA��14� <br /> A copy of which is atlached herelo anrl by tl�is reference � <br /> made a parl hercin as though set forlh in full herein � <br /> upon cach of Lhc follo�ving l.isf known owncr(c) of <br /> - record of thc Uuilding(s), or struclurc(s)� or poriion(s) <br /> ihercof descriUcd in said doctvnent by thc m:tnncr set <br /> forlh ]�ercinafter; <br /> (a) p�R5pNAL SLHVICE <br /> IIy del.ivcring and lcaving said copy ��:ith said owncr(s} <br /> � ai tl�c place and time set forlh hercinbelow: <br /> Owncr Namc ' Address Scrved llate Scrved <br />