HomeMy WebLinkAboutNOA_Affidavits_of_sign_installation_220112_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT ID
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, 6P 01 Z--CN (6 i Nti Y ) sflnl 1J E I 0 , 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 2i IJ day of C C C %A 20 z 1- 1 installed d2N-e-
public information sign(s) on the property located at CII10 Fj& L4t"- +v` VGA
for the following project:
C �OCxC���L�� SCXn c
Project Name
Owner N me
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 Information Signs Installation" handout package.
SUBSCRIBED AND SWORN to before
Notary Public res
State of Washington
Sharon Dianne Le Roux My
Commission No. 187444
Commission Expires 08-03-26
Installer Signature
of Jb C' C- , 20-2,2- .
B In and for the State of Washington,
expires on
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