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•- CITY OI' �VLRETT <br />Snohomish CounCy, �Vashington <br />UNSArE BUILDINGS <br />STAT� OF �YASHINGTON ) SS <br />COUNTY OF SiVOHOI�tISH ) <br />FORM G <br />RErER�NCE NO, � %_(,�—�Q <br />AFrIllAVIT OF S�P VICE <br />The undersigned, Ueing first duly s�vorn wi oath, deposes and says; <br />1, That in and during all times herein mentioncd, affiant was and now <br />is over the age of tv�en�y-one years, a citi•r.en of the United States, a resident <br />of the Statc of tiYashington and competent to Ue a �vitness ]ierein. <br />2. That affiant servrd a full, true, correct duplicate original copy <br />af tlie follotving descriUed docwnent: (Cross out inapplicaUle notices) <br />(a} NOTIC� OF UNSAP'� BUILDING(S) <br />..e-��_ _- -'z_-�=�—�__='_''__°_=__°____::_- <br />' - --! Sl��IIlIs•!�[!alel !!.'LC7CQHrr��r�:P_��:�!:��07: <br />:° e ee <br />i14a�f+_�:ltG6feO' 3ist*srneze�eti:e=a�. <br />A copy of �t�hicli is attached hereto and Uy tliis reference <br />made a part herein as thou�h set fortl� in full herein <br />upon eacli of thc following last l.no«�n o�vner(s) of <br />record o[ the buildin�(s), or structurc(sJ, or portiwi(s) <br />tihcrcof described in said document Uy the manner set <br />forth hereinafter: <br />(a) PERSONAL SERVICE <br />By dclivering and leaving said copy with snid owncr(s) <br />at t13e place and Cime sel fortli ]icreinUelo�v: <br />RE EIPT FOR CERTIFIED MAIL-30<< <br />SEMT <br />: �z.E'� � .� -e�,, (I' <br />! � <br />STNfSi AND N0. <br />� _�. .� i 9. <br />P, O� SiME . D IIP CODE / <br />.:��C t'r, ��� � <br />EiTl1,1 SCNYICCS fOX ,ID0111 <br />R�lum bWpt <br />Shmva ro�vhom Sh�nr.� ro wl�om. <br />pddeee tlnte.nnd�vherc <br />delivrred delirrrnd <br />� /Of feo ❑ J5� fee <br />POUiarm38W NO INSUR�NC[ COVI <br />Macl%6 NOT iOl11NTCHM <br />pdSTMApK <br />ON OAT[ <br />,/�.�� �\ �� <br />t � Q' <. _ / ��� <br />s <br />Deliver m I- / � <br />ddrv�eee Onfy �,1 <br />V' <br />❑ SOf Iee '� <br />:i <br />PROV:OCU— (Svc ofher side) � <br />1L MAII <br />DBtC SCI'VCC� <br />