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FORM G <br />CITY OF EVEF.ETT <br />Stiohomish County� �tirnshington <br />UNSAFE BUILDINGS R�FERENCE NO. 71-2-54, <br />STATE OF W ASHINGTON ) $S . <br />' ' � C6UNT� OI' SNOIIOnTISiI j " "" ' '?�FFIDAVIT OF ST'P.VIG� � <br />The undei•si�ned, beint� first duly s�:'orn oiz o�th, deposes znd say-s: <br />1, That in and during all times hcrcin mentioned� aifiant was and no�v <br />_ is oyer tl�c a�e of t�3�enty-one }�ears, .a cili.zen of the UniLed States,, a:residc�it <br />of thc�State of tiVashington and competent to be a witness licrein. <br />2, That aifi�nt served a full, Lrue, correct duplicate original cory <br />of fhe ;ollo�ving d�scriLed docuinent: (Cross out inapplicable notices) <br />(a) NOTICE OF U�1SAr'E 13UILDING(S) <br />C���,� .�orc�.��rtmrnnr ��I3L3�I-L�-$-'d� <br />� ^•,��-; Q*����O-C-I-TY COU\iCIL � Oit <br />��R <br />��9 ���" __ '_' e=_ __' <br />O�� i w� <br />A copy of �yhieh is attached hereto and Uy Chis reiei•r.��ce <br />madc a part hcrcin as thoueh sci forth in hill hcrcin <br />upon each of Yhe following last ]cno�vn o�vner(s} of <br />record of the building(s), or structure(s), or portion(s) <br />thereof descriUed in said docunient by the manner seC <br />forlh hercinaftei^ <br />(a) PERSON.4L SEP.VICE <br />I3y delivering and lcaving said copy with said o�vner(s) <br />1t thc place a�d time set forth hcreinUclo�v: <br />p��.��,,1. j�,r�,����. Address Served Date Scrved <br />