HomeMy WebLinkAboutNOA_Install_Affidavit_250519_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT Senfift®
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200| www.rontoowa.gov
STATE OF WASHINGTON
COUNTY OF KING )
1. 1, ^1^^ wf M^^w 6 ^l/rcertify under penalty of perjury under
the laws of the State of Washington that theforegolng Is true and correct, being first
duly sworn on oath, deposes and says: i
2. On the
public information sign(s) on the property located at
, 20^SZ-r I Installed 1
sax <.. aW-
for the following project:
^&L 0 4; M^
My Comm. Expires
February 27,
mt No.22010720
^ ^B^
Project Name .
Ski ^ IH frafcf^ 06
Owner Name 1
3. I have ^d a copy of the neighborhood detail map marked with an "X" to indicate
the location1 of the installed sign.
4. This/these public information sign(s) was/were constructed and installed in locations in
conformance with the requirements of Chapter 8 Title 4 of Renton Municipal Code and
the Qty's "Public Information Signs Installation" handout ge.
installer Signature
JBSCRIBED AND SWORN to before me this 1^ day of
NOTARY PUBLIC and for the State of Washington,
residing at ______________
My commission expires on