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21 MADISON ST 2016-01-01 MF Import
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21 MADISON ST 2016-01-01 MF Import
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Last modified
4/27/2017 10:59:34 AM
Creation date
2/17/2017 10:07:36 PM
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Template:
Address Document
Street Name
MADISON ST
Street Number
21
Imported From Microfiche
Yes
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Y_ <br />� <br />FORM G <br />CITY OF EVE12E1'T <br />Snohomish County, Washinbton <br />UNSAFE BUILDINGS <br />STAT� OIP �VASHINGTON ) <br />SS, <br />' COUNTY� OF SNOf-IOIvIISH ) ' - <br />REFERENCE NO. 70-1Q-37 <br />: -f,:F'FI7�AVIT OF SERVICE:: . . . . <br />The undersigned, bcing first duly sworn on oath, deposes and says: <br />1. That ir, and during all times herein mentioned, affiant was and no�v <br />is over tlie,age of t�venty-one yeaxs, a, citizen of the. Uniled SYates, a. residcr�L.. <br />- of.4he State �of WashingYon and �coinpe'tenE to Ue x �vitness ]�crcin:` '. � <br />�v <br />r�- <br />LCi <br />00 <br />� <br />c� <br />Z. That affiant served a full, [ruc, correct duplicaCe original copy <br />of tlie following described documenc: (Cross out inapp]icablc notices) <br />�. -. -. + �� <br />iU) NOTICE OI' PRESENTATION OF T3UILIBNG <br />OFFICIAL R�QLJEST TO CITY COUNCIL FOR <br />AN ORD�R <br />��� e .� �c� �::..�:.�:.:...:.: <br />A coPY af �vl�ich is aCtached hereto and by this referencc <br />madc a p2rt hcrcin as thuLgh set forfh in full hcrcin <br />upon each of the following last laiown owner(s) of <br />record of thc building(s), or sCructurc(s�, or portion(s) <br />thereof described in said ducumenC Uy thc manncr set <br />forth hereinafter: <br />(�i) PERSONAL SERVICE <br />By delivering and lcaving said copy �vith said o�vner(s) <br />at the place_and time seC forth hereinbelow: <br />RECEIPT fOR CERTIFIED MAIL-30�� <br />scHrro Datc Scr�cd <br />Granite Const Co, o��o;T�" — <br />sipccr �xo no. ' <br />6124 Ever�reen Way _ <br />P. G., Si�iE, AND Z1P �ODE ` <br />Everett� lNn. 98201 12_9_i0 ; <br />ES7pA SEqW�ES fOp AOOI710N,1� FEES <br />P�lum R�cNol <br />Shorva to wn..... ci._..._ ._ De/iver to � <br />� <br />dei'verey <br />�y ❑ !0� fee <br />PG� Io�m 3AW MO <br />¢ar. 13d6 <br />�Vham. I Add�evee ONy <br />� hc�o <br />ed <br />fee � 50� !ee <br />(See ot/ter side) <br />
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