HomeMy WebLinkAboutPublic Information Sign - Signed AffidavitDEPARTMENT OF COMMUNITYCITY OF
AND ECONOMIC DEVELOPMENT i�_ 11
ton
AFFIDAVIT OF INSTALLATION OF
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
being first
duly sworn on oath, deposes and says:
1. On the . CJ day of 7PE�7 , 20� I installed public
inforrrlation sign(s) and plastic flyer box on the property located at
for the following project:
Project Name
Owner Name
2. 1 have attached a copy of the neighborhood detail map marked with an "X" to
indicate the location of the installed sign.
3. This/these public information sign(s) was/were constructed and installed in locations
in conformance with the requirements of Chapter 7 Title 4 of Renton Municipal Code
and the City's "Public Information Signs It tallation" handout package.
nstaller Signature
SUBSCRIBED AND SWORN to before me this day of e'\ber , 20.
M
RIA FEEROUBLIC NOTARY PU d1LIC in and for the State of Washington,
SHINGTON residing at �D XPiEXPIRES 2018
My commission expires on �'16�`,QD
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\pubsign.doc Rev: 08/2015