HomeMy WebLinkAboutNOA_Affidavit_Public_Info_Sign_180103_v1DEPARTMENT OF COMMUNITY CITY OF
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AND ECONOMIC DEVELOPMENT Renton
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. I, Frank Durocher , 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 day of January , 20 18 , 1 installed
public information sign(s) on the property located at 4500Talbot Rd S
for the following project:
Weatherly Inn - Renton
Project Name
Alex Bunn
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 Informati ins Installation" handout package.
Installer Signature
SUBSCRIBED AND SWORN to before me this day of ' �u 20.
VICKI L KELLY
Notary Public NOTARY PUBLIC in and for the tate of Washington,
State of Washington residing at NsJ Ley A, i�A 1 L V -I i (J410
My Commission Expires
July 01 , 2019 My commission expires on TccL hl —wl
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017