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CI7'1 OP' LVERETT <br />Snohwnish County, Wasl�ington <br />UNSAl� I? 73UILDINGS <br />STA1'L OP' 1VASIIING'fON ) <br />SS <br />COUNTY 02' SNO]IOI�-iISl1 ) <br />FORM G <br />. I <br />RrFFRLNCE NO. 7]-7-77 <br />AFrIDAVIT OF SERVICE <br />Thc undcrsigned, Ucing first ciuly s�vorn on oalh, deposes and says; <br />1. That in and during all times hcrein mentioned, affiant was ancl no�v <br />is ovcr Ihc agc of t�ven[y-onc ycars, a cilirmi oI thc United States, a resident <br />of ihe State of 1Vashiugton and competent to bc a witness l�crcin, <br />Z. That affianf served a full, truc, correcC duplicate original copy <br />of the folloming descriUcd docwnent: (Cross out inapplicaUle notices) <br />(a) N01'ICE OIP UNSAFE 73UILDING(S) <br />�v = <br />' - - ---- - - ���w <br />� ��'" '_� . <br />Owner Namc <br />A copy of �vl�ich is attached hereto and hy tliis refercnce <br />made a part herein as tl�ough set forih in full hcrcin <br />upon cach of tl�c folio�ving las[ kno�vn o�vner(c) of <br />recorcl oi thc Uuilding(s), or structure(s], or portion(s) <br />thercof. dcscribed in said docmncnl Uy the ma�mer set: <br />forth hcrcinafter• <br />(a) PPRSONAL SERVICE <br />�}' delivcring and lca�ring said copy with said owncr(s) <br />at thc place and time seC forth hcrcinbclow; <br />Address Served <br />Datc Scrved <br />� <br />