HomeMy WebLinkAboutNOA_Affidavit_of_Sign_Installation_170515_v1DEPARTMENT OF COMMUN€TYCITY or
AND ECONOMIC DEVELOPMENT Rento J, O
AFFIDAVIT OF INSTALLATION OF
PUBLIC INFORMATION SIMV
Planning Division
1055 South Grady Way, Renton, WA 98057
Phone: 425-430-7200 I www.rentonwa.gov
STATE OF WASHINGTON
COUNTY
A��^ ) SS
COUNTY Of" KING [}
certify under penalty of perjury under
the lavas of the tate of Washington that the foregoing is true and correct, being first
duly sworn on oath, deposes and says:
2. On the -7-M day of _ _-� --
—,20/—) , I installed
public information sign{s} on the property located at _J 78/4
for the following project: feftx�
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Project Name
Owner Name
3. 1 have attached a copy of the neighborhood detail main 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 Information Sign nst I7"d,awpx
age.
�
Installer Signature
SUBSCRIBED AND SWORN to before t-ne this day 20�.
Notary Public NOTARY PUBLIC in and for the State of Washington,
State of Washington residing at -_ i Mw
GRtCELDA 8605 V.
My Appointment Expires Oct 28, 2017 My commission expires on
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