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FORi�i G <br />CITY OF EVERETT <br />Snohomisli County, �Yashington <br />UNSAFE: BUILDINGS <br />STATE OF �YASfiINGTON ) SS <br />COUi�TTY OF SNOF-IObIISH ) <br />REFERENCE NO. '7—L-22 <br />AFFID.'1VI7' O: Si:::VICF.. <br />The undcrsio td, bcing :irst duly _arorn on oath� dcnoccs :nd saj-s: <br />1, Tl�a[ in and during z11 timcs hcrcin Tnentioncd, a:iiant �vas and no�v <br />is over the a�e of twentc-one years; a citizen of the United States, a re=ider.t <br />of ihc 5tate of`\:Tarhington and competcnt to bc a �vitness herein, <br />2. That �ifiant served a full, true, correct duplicate oricinal copy <br />of the follo�ving described doeuinent: (Cross out inapplical:l� iiotices) <br />, . : . <br />(ti) NOTICE OF PRESENTATION O?' BUILI3 ivG <br />OFFIGIAL ?ZEQlii.S i TO CITY GOUNGIL 1'OiZ <br />AN OiiDEiZ <br />O�vncr Na:nc <br />' ' <br />A copy of which is attached hereto ar.0 bv U:is rcic�renc� <br />madc a part hcrcin as thoue.l set fo:th i�� fti11 hc:ci:� <br />upon cacli of thc follo�ving last kno�t�n o�vncr(s) o: <br />record of the buildine(=}, or ;trueturc(el, or po:tior,(s) <br />thereof descriUed in s<-id c.ocument by the manncr set <br />forth hercinaftcr; <br />{a) PEF.SON:�L SE::l%iCL: <br />By dclivcring a�id lcavinti s-.id copy �vitli said o�•:tzrr(s) <br />.^.t thr_ placc and :ime set fortL hcrcinbclow: <br />Address Srrved <br />Datc Scr��ed <br />