HomeMy WebLinkAboutL_Affadavit of Mailing_17-000492WSDOT 1-405 PROGRAM
PO BOX 330310, #NB82-138, SEATTLE, WA 98133-9710
AFFIDAVIT OF SERVICE BY MAILING
On the 4" day of August, 2017, 1 deposited in the mails of the United States, a sealed envelope containing
Notice of Public Hearing - Noise Variance for Nighttime work documents. This information was sent to:
Name
Representing
300' Surrounding Property Owners
See Attached
(Signature of Sender):
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument.
Dated:
Notary Pubiic to ltd for the State of Washington
- n
Notary (Print): 4 _W t (
My appointment expires: 7/a 6/.10
Project Name: WSDOT Pavement Rehabilitation Noise Variance for SB 1-405, SR 900 to Coal Creek Pkwy SE
Project Number: LUA17-000492, V -H
template - affidavit of service by mailing