Laserfiche WebLink
: ' FORM G <br /> , � � , <br /> ; ' <br /> • CITY OF EVERLTT <br /> Snohomish Count}�, �Vashington ' <br /> ' iJNSAF'E PUILDINGS REFER�NCE NO, ,7p_6-21 <br /> � . _ _. <br /> STATE pF WEISHINGTON ) SS � • � <br /> COUNTY OF SNOHOr4ISH ) , AFFIDA,VIT Ol� SLRViC?"' <br /> , � The undersigned� being first duly sworn on oath, deposes and says: <br /> ' . 1. That in and duriug all times ncrein mentioned, affiant. �vas and no�v <br /> ! is over the age of twenty-one ycars, a citizen of the United StaCes, a resident <br /> iof the State of WashingCon and competent to be a witness herein, � <br /> " Z. That affiant served a ful.l, true, cor.rect duplicate original copy <br /> � of the"foilowing described document: (Cross out inapplicable notices) <br /> � . <br /> (a) NOTICE OF UNSAFE BUILDING(S} <br /> i <br /> I <br /> � • � . <br /> : . <br /> i . (c) <br /> A. copy of wliicli is atCa.ched hcreto and Uy this refere�icc <br /> . made a part herein as though set forth in full herein <br /> , upon each of the following last kno�vn o�mer(�) bf <br /> ---- .record of tlie building(s), or structure(sJ, or portion(s) <br /> thereof. described in said document by the rnaimer set <br /> forth hereinafler: <br /> (a) PERSONAL SERVICE <br /> By delivcring and lcaving said copy �vitli said o�vncr(s) <br /> � at the place and time set forlh hcreinbelow: <br /> Owncr IQame ' Address Scrved Date Served <br />