HomeMy WebLinkAboutL_Affidavit_Installation_Public_Information_Sign_180301_v1DEPARTMENT OF COMMUNITYCITY OF Alwh
AND ECONOMIC DEVELOPMENT
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 )
I, h cw J I .� S C� V1J � U 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 `7-'k day of ':Dec , , 20 IT , I installed
public information sign(s) on the property located at f IV 111 N ST i�ay) �h
for the following project:
Project Name
AV V IJ �EV�, l M C --Ai T i IV( ;
Owner Name
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) w 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.
Installer Signature
SUBSCRIBED AND SWORN to before me this day of 20.
ENotarycgtou NOTA Y PUBLI n andf r the State of Washington,
K residing at(PIKES
My commission expires on 2ZIP
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017