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SEP-13-04 tION 03;13 PM EVERETT PERMlT SERVICES FAH N0. 425 257 8857 P, 03 <br /> • � � ( <br /> -N� <br /> DA2'EA THT3 _ 5 `%� O!' bE✓ , 200� <br /> � <br /> �.l�c � <br /> , <br /> py�L�7R (siqna •ira) <br /> El�tq�Y� � VY14 �i rL I�VlArvi G1 ; <br /> Prin�sne � �'ital Status <br /> OWF7ER <br /> Print Name Marital Statuy � <br /> STATE 0� WA3HTNGTON, ) <br /> >ss, <br /> co�rrxx o� S �y��SLI ) <br /> I ceztif.y that I know or havo satisfectory ovideno� that <br /> L���._ ��,a �� signed this instrumant aad <br /> acknowle" dqad it to be (� his, h�z, theic) free and voluntary aat <br /> !or thQ uee�s and purposoo mentioaed in the iasix�nt. <br /> S.�Aq� � D�j �t��Qd: /S�� S� mbev� �Uo'-/ <br /> `$ �55�ON qSq y,^,+'n,— '� �n� as�a '!Q M � <br /> �0 c� F�"g 'y� Siqnaturs o£ Notary Public <br /> S� Y� or 8q�n A <br /> x�tig, f'�-iz��r,�h(iC. <br /> v'� ",'. �c <br /> 9,�� >> �s <o,» �02 Mx comnieeion eexpiree: /�- /5 • � Op rZ <br /> �-- G <br /> GF W'ASH�C` <br /> L�NDER APBROVAL REQUIRED: THIS DOCLI[�NT DQfJST HE hPPAOVBD HELOH <br /> BY AUTf1URSZL°D AGENT9 FOR ALL SECUAED CREDZTORS <br /> VZ� <br />