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__,__._ __�; <br />CITY OF EVERETT <br />Snohomish County, Washington <br />UNSAFE BUILDINGS <br />STATE OF WASHINGTON ) SS <br />COUNTY OF SNOHOMISH ) <br />I'ORM G <br />� <<�: _ = - , j <br />, <br />REFERENCE NO. 70-11-36 <br />ArI'IDAVIT OF SERVICE <br />The undersig�ied, Ueing tirst duly sworn on oath� deooses and says: <br />1. That in and during all times herein mentioned� affiant was and no�v <br />is over the age of t�venty-one years, a citizen of the United States, a resident <br />of the State of Washington and compe[ent to be a�vitness herein, <br />2, That aftiant served a full, true, correct duplicate original copy <br />of the following described document: (Cross out inapplicaUle notices) <br />(a) NOTICE OF UNSAFE BUILDING(S} <br />O��mcr Name <br />A copy of �vhich is attached hereto and by this reference <br />made a part herein as though set forth in fnll herein <br />upon each of the following lasC kno�vn owner(s) of <br />record of the building(s), or scructure(s), or portion(s) <br />thereof desrriUed in said document bp the mamter set <br />forth hereinafter: <br />(aj P�RSONAL SERVICE <br />By delivering and lcaving said copy �vith said o�vncr(s) <br />at tl�c placc cnd time sel forth hcrrinbelow; <br />Addres, S�rved <br />Date Served <br />