HomeMy WebLinkAboutNOA_Affidavit public sign_170615_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT ------------ltentOil ®
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIGN
STATE OF WASHINGTON
COUNTY OF KING
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 I www.rentonwa.gov
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1.I, K.0b (1 ult-\'K(L , certify under penalty of perjury underI the laws of the State of Washington that the foregoing is true and correct, being firstduly sworn on oath, deposes and says:
2.On the d-L\ -ut_day of __,f_f\.._ffj-+• ·_· ____ _,, 20 11 I installed _,I __ _
public information sign(s) on the property located at t l? j 10 tfor the following project: £eino�' 1,\/t\;--l
Project Name
Owner Name
4j�)/
3.I have at tached a copy of the neighborhood detail map marked with an "X" to indicatethe location of the installed sign.
4.
Installer Signature
SUBSCRIBED AND SWORN to before me this z...1--t day of_M�'�)+-'--�' 201!1__.
Notary Public State of Washington JARED HOOSER My Appointment Expires Dec 21, 2019 '!>. ........... ..
N ARY PUBLIC in and for the State of Washington,
flet.i110\ WIA
My commission expires on i "L /-z._l /�Loi)I
7
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017
Greenwood Heating & Air Conditioning, Renton WA
Michael Porter
Sign install for Greenwood Heating and Air Conditioning
Project
Location:
1703 NE 43rd Street, Renton, WA, 98056