HomeMy WebLinkAboutL_Affidavit_of_Mailing_ERC_LUA19-000158CITYOFRENTONDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENT-PLANNINGDIVISIONAFFIDAVITOFSERVICEBYMAILINGOnthe27thdayofSeptember,2019,IdepositedinthemailsoftheUnitedStates,asealedenvelopecontainingERCDeterminationdocuments.Thisinformationwassentto:NameRepresentinRPublicHospitalDistrict#1KingCountyOwnerJamesGodfreyApplicantJoeCarlsonContactDustinThorlaksonArchitect(SignatureofSender):i21J2._4STATEOFWASHINGTOWSSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatJenniferCisnerossignedthisinstrumentandacknowledgedittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.—?i}v.ZNotaryPublic)ndfortStateofWashingtonProjectName:PR19-000301ChateauValleyTowerProjectNumber:LUA9-000158Dated:Notary(Print):Myappointmentexpires:(i((k6r/7AffidavitofServicebyMailing
Company Name
Public Hospital Distr.#1 King Co
Valley Tower Associates
Valley Tower Associates
FREIHEIT Architecture
Contact Name Title Email
david sniith@valleymed.org
James Godfrey jirnch ate .ulIc corn
Joe Carlson joe(tDchateaullc.corn
Dustin Thorlakson Project Manager dthorlakson@FreiheitArch.com
Mailing Address 1 Street
P0 Box 50010
15029 Woodinville-Redmond Rd.p200
15029 Woodinville-Redmond Rd.#200
929 108th Ave NE,Suite 210
Mailing Address 1 City Mailing Address 2 Street
Renton WA 98058
Woodinville WA 98072
Woodinville WA 98072
Bellevue WA 98004