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� . • , � FORM G <br /> . <br /> � � • CITY OF LVER�TT <br /> Snohoinish Gounty, �Vashington � <br /> � • UNSAFE SUILDINGS REFERENCE NO, 70 "-z� <br /> i �. <br /> STA1"� OF WASHINGTON ) SS � ' <br /> COUNTY OF SNOHOrQISH ) , . AFFIDAVII' Ol' SF_kVICL; <br /> The undersigned, being first duly sworn on oath� deposes and says: <br /> 1. That in and during all times hcrein inentiwied� affiant �vas and now <br /> is over the age of twenty-one ycars, a citizen of Uie United StaCes, a resident <br /> of the State of Washington and comretent to be a �vitness herein. <br /> ' 2. '1'hat atfiant served a f�.l;, true, correct duplicate original copy <br /> of tlie following described document; (Cross out inapplicable notices) <br /> (a) NOTICE OF UNSAFE BUILDING(S) <br /> ' . � . <br /> (c) <br /> A copy of �vhicli is attached herMo and by tl�is refcre�ice <br /> made a part hercin as though set forth in full herein <br /> upon each of the follo�ving last kno�vn owner(s) 'of <br /> ----- .record of the building(s), or structure(s), or portion(s) <br /> thereof descriUed in said document by the manner set <br /> forlh hereinafter; , <br /> ' (a) PERSONAL SERVICE <br /> By delivering and lcaving said copy tvith said otvncr(s) <br /> ' at the placc and time set for[h hcreinUclow: <br /> Owner P7ame ' Adclress 5crvcd Date Scrved <br />