HomeMy WebLinkAboutNOA_Signed_Affidavit_20170327_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT
penton V
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.sov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1. I, M(A�kk� P�gl&—f- , certify under penalty of perjury under
the laws of the State of Washington that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the day of20 1 - , I installed
public information sign��'
s) on the property located at �H 5
for the following project:
Ecr-C VA " C --S
roject Name
Owner Name
3. 1 have attached a copy of the neighborhood detail map marked with an "X" to indicate
the location 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 City's "Public Information Signs Installation" handout package.
�W�14
Installer Signature
SUBSCRIBED AND SWORN to before me this o2-7 day of 20 ( -7
O�
LISA K JURY NOTARY PUBLIC in an&r lNe State of Washington,
NOTARY PUBLIC residing at FZ�, Wa-,r
STATE OF WASHINGTON
COMMISSION EXPIRES My commission expires on
AUGUST 29, 2020 '
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.dou Rev. 02/2017