HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_TRIP_171128_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT enton
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON }
) SS
COUNTY OF KING )
1 1, Lisa Hodgson , 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 2-7 day of �-A D Verv-1 be -J(' 20 V-1 , I installed
public information sign(s) on the property located at 4260 Lake Washington Blvd N Renton 98506
for the following project:
1-405 Renton to Bellevue Project, Stage 1
Project Name
Washington State Department of Transportation
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.
1p5taller Si ture
SUBSCRIBED AND SWORN to before me this y ofW,i da f20
-'lC-
NOTARY PUBLIC in and for t e State of Wsh"
in
{Votary Public
State of Washington
FREDA CLARK
My Appointment Expires Apr 2, 2018
� n,
residing
My commission expires on a �/
7
C:\Users\cciose\Desktop\Work\Handouts\Pub Info Sign Handout.docx
Rev. 02/2017
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To submit comments or obtain information contact
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