Partial Waiver Of Lien Form
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3PARTIAL WAIVER OF LIEN
The undersigned, having a right to a lien for labor performed on and/or materials furnished to the following
described real estate in
County, state of Washington, to-wit:
Tax Parcel Number:
TO
,
owner of the premises located at and known as
and TO ALL WHOM IT MAY CONCERN:
IN CONSIDERATION of the sum of
Dollars ($_____________________),
and other good and valuable considerations this day in hand paid, receipt whereof is hereby acknowledged, the
undersigned, as
contractor for the
LPB 65-05(ir)
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