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DEPARTMENT OF COMMUNITY CITY 11
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 ' i �u 20.
VICKI L KELLY Lis ti
Notary Public NOTARY PUBLIC in and for the tateiiof Washington,
State of Washington residing atLY�
My Commission Expires �—
July 01 , 2019 My commission expires on
C:\Users\cclose\Desktop\Work\Handouts\Pub Info Sign Handout.docx Rev. 02/2017