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y ` _ � <br /> ' � . � For.M c <br /> , . <br /> . � <br /> CITY OF LVE�tETT <br /> Snohwnish Count��, Nashington <br /> � � UNSAFE BUILllINGS REFERENCE NO, 'l)-] 1- '�2 <br /> � • � — <br /> STATE OF WfLSHINGTON } SS � ' <br /> COUNTY OF SNOHOn4ISH ) . . AFFIDAVII' Ol� S�RVICE <br /> The undersigned, be'vig first duly s�vorn on oatl�, deposes and says: <br /> 1, That in and during all times herein mentioued, affiant �vas and no�v <br /> is over the age of iwenty-one ycars� a citizen of lhc IInited States, a resident <br /> of the State of Washington and competent to be a wiYness herein. <br /> ' 2. ThaC affiant servcd a full� true� correct duplicate original copy <br /> of thc follo�ving descriUed docmnent: (Cross ouC inapplicable noCices) <br /> (a) NOTICE OF UNSAFE BUILDING(S) <br /> iI <br /> � <br /> i . <br /> C c' <br /> A copy of which is attached hcrcto and by tl�is referencc <br /> made a part hercin as Utouoh set forih in full hercin <br /> upon each of thc follotving last kno�vn o�vner(s) 'of <br /> ---- record of the Uuilding(s), or structux•c(s)� or portion(s) <br /> thcreof descriUed in said document by thc manncr set <br /> forth hereinafter: <br /> � I;a) PL'RSONAL SERVICE <br /> $y delivering and leaving said copy� with said owncr(s) <br /> � at the place and time set forth hereinbclow: <br /> Owner Namc ' Address Scrved llate Served <br />