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CITY OF LV�P.LTT <br />Snoliomish County, �Yashington <br />UD.'" AFE BUILDINGS <br />FORM G <br />� _f _ �. ���-' <br />REFERENC� NO. 70-10-36 <br />��' ;, <br />STAT� OF WASIiINGTON ) SS <br />. ,, ,._ .. :•'. •. � • :� AF•FIDAVIT OF SERVICE : : �: _::_,, >.. : <br />• " "'C'OUNTY OF'SI�bT-IOIvt15H' )"' ' <br />The undcrsigned, beinq first duly sworn on oath, deposes and says: <br />1, That in and during all limes herein ment'oned, affiant was and no��� <br />is over the agc of, twellly-onc.years, a citizcn,of the Uniced State.s, a, resident <br />••' '�' df fhe S'tate'of. Washinglon and competent Eo Uc a wilness hcrein. ' <br />2. ThaC affiant served a full, lrue, correct duplicate original copy <br />of ti�e following described document: (Cross out inapplicable nolices) <br />�-� -� - -- - = — - - ' -�._.� <br />(b) NOTICE OF PRESENTATION OI' BUILI7i NG <br />OFFICIAL REQULST TO CI'1'Y GOUNGIL FOR <br />AN ORll�l: <br />Owner Name <br />' :- <br />A copy of �yhieh is attached heretu and Uy tl�is reference <br />madc a part hcrcin as though sM forth in full horcin <br />upon cach of thc following last lcnv�vn o�vner(s) of <br />record of the Uuilding(s), or structure(s), or portion(s) <br />thereof descriUed in said document Uy the manner �et <br />for[h hcreinafter: <br />(a) P�RSONAL S�RVICE <br />By delivcring and lcaving said copy with said owner(s) <br />at the place and tiv�e set forth hercinbelow: <br />Address Served <br />Date Served <br />