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7'OP.'rA G <br /> CI'PI' Ol' I:\�LRL.17, <br /> Snnhomish County� Wasl�in�fon <br /> UNSt1I�l: )3UILDINGS R�1 E12]'NCI: NO� �r�-�i-1 <br /> STATE Ol� \'VASI-i1NGTON ) SS <br /> GOU'•i'I'T Oi�' SNOI]OirSI51] ) �.I''li'ID��VI7' OF SL1::\rICE <br /> Thc taidcrsigned, bi:ing first duly s�vorn wi oath, cicposes and says; <br /> 1, Tl�at in and cluring all times ]icrein meniio�icd, affiant was 1nd n��v <br /> is over the age of twenty-wie ycars, a citizen of tl�c Uniled SLaYes, a resid��it <br /> of the Statc of Washingtion and competent to Ue a �vitness hcrein, <br /> Z. That affiant served a full, irue; correct duplicate ori�in: l copy <br /> of the following described document: (Ciross out inapplicable noliccs) <br /> (a) I�TOTIC� OF UNSAI'E L'UILllING(5} <br /> (�} AK�AIL�kkO<�ZxRr3���K1?iA`C]Z��rpq��r��Yi�l;#'fl9�F.TC <br /> pd��eS�x�lx�x�lbk`,f�i�78$s�ki���ERY;:k iL)kk�XX.rI.I„�I<�LkB <br /> ��IitIsAI�213 <br /> (�) AI{�lR��xCS�xfL$Ak�XfLY�I�I�€��>C)izl»a':1� <br /> A copy oi which is attachcd hcrcto and Ly ihis rofcrcncc <br /> made a part herein as though set fortU in full herein <br /> upon each of �hc following last ]ato�vn o�vner(,� o: <br /> record of il�e building(s), or siruciw•e(s), or portion(s) <br /> tlicrcuf described in said ciocun�ico�t b�� thc rnanucr sr•l <br /> fortl� hereinafter: <br /> (a) PLRSOI�TAL SI:IZVICl�� <br /> Py dclivcring and ]eaving said copy tvith snid a�w7cr(s) <br /> at tl�e place a.nd Lime sct forlli hereinbclo�v: <br /> O�;�ncr Nau�ic � Ad�lri�s:: S��r�od b:�lc Scr��c�d <br /> J <br /> ,.. — <br />