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FORM G <br />CITY OF EVERETT <br />Snohomish County, Washington <br />UNSAFE BUILDINGS <br />STATE OF W4SI•iINGTON) SS <br />COUNTY OF SNOHOMISH ) <br />REFERENCE NO. 724-107 <br />AFFIDAVIT OF SERVICE <br />The undersigned, being first duly sworn on oath, deposes and says: <br />1. That in and during all times herein mentioned, affiant was and now <br />is over the age of twenty-one years, a citizen of the United States, a resident <br />of the State of Washington and competent to be a witness herein, <br />2. That affiant served a full, true, correct duplicate original copy <br />of the following described document: (Cross out inapplicable notices) <br />(a) NOTICE OF UNSAFE BUILDINGS) <br />A lea <br />p11 71 �•- <br />(X�XXXXXAF� <br />A copy of which is attached hereto and by this reference <br />made a part herein as though set forth in full herein <br />upon each of the following last known owner(s)'of <br />record of the building(s), or structure(s), rn7• portion(s) <br />thereof described in said document by the mam.er set <br />forth hereinafter: <br />(a) PERSONAL SERVICE <br />By delivering and leaving said copy with said owncr(s) <br />at the place and time set forth hereinbelow: <br />Owner Name ' Address Served Date Served <br />