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�: <br />1'ORM G <br />CITY OF EVERETT <br />Snohornish County, Washington <br />UNSAFE BUILDINGS <br />STAT� OF WASFI1Pv'G`1'ON ) <br />SS <br />�'OtiNTY OF SNOFIOriISH ) <br />REFERENCE NO, 70_��_37 <br />ArZ'IDA,VIT OF SERVICE <br />The undersigned, being first duly sworn on oath, deposes and says: <br />1, That in and duri.no all times herein mentioned, affiant �vas and no�v <br />is over the age of t�venty-one years, a citizen of the United States, a resident <br />of the State of Washingt�n and competenY to be a witness herein, <br />Z. That affiant served a full, true� correct duplicate original copy <br />of the follo�ving described docuinenY: (Cross out inapplicable notices) <br />ia) NOTICE OF UNSAFE BUILDING(S} <br />' � c- :. <br />�_ �s.�re�� <br />�,.�._=-r <br />.� <br />lL��:�:ii.Gi..�G' <br />_ ----_ � �i�a�i��iiw i <br />Owner Name <br />.9 copy of �vhich is atCached ticre[o and by Cliis rcference <br />made a part herein as though set forth in full herein <br />upon eacli oF the follo�ving last lcno�vn o�vner(s) of <br />record of t}�e building(s), or structu.re(s), ar partion(s) <br />thereof described in said documcnt by the manner set <br />forth hereinafter: <br />ia) PERSONAL S�RVICE <br />By delivering and leaving said copy with said owncr(s) <br />at Llie place and time seC torCh hereinbelow: <br />Address Served <br />Date Served <br />; <br />! <br />