Bullhead City, AZ · Mohave County

No notary required

Application for Six Month Extension on Installation Permit

Installation permit holders use this application to request a one-time extension from Bullhead City when they can demonstrate justifiable cause.

What this form is

Use this application to request a one-time extension of up to 180 days for an installation permit, except a special use permit. The extension request must reach the Department before the permit expires, which is generally six months after issuance. The form asks for applicant and permit details, a detailed explanation, and updated contractor information if changes were made; additional sheets may be attached.

Who needs it

A permit holder seeking additional time for an installation permit should complete this application and provide a justifiable cause for the request.

How to submit it

The request must be received by the Department before the permit expires. The form lists Development Services, 2355 Trane Rd, Bullhead City, AZ 86442.

About notarization

This application has no notary block; it asks for the current date and applicant details, and lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the six-month installation permit extension application.

  2. 2

    Complete The Form

    Enter the applicant and permit details and explain the reason for requesting an extension.

  3. 3

    Gather Additional Information

    If contractor or installer details changed, provide current information; attach additional sheets if necessary.

  4. 4

    Submit Before Expiration

    Ensure the Department receives the request before the permit expires. The form lists Development Services at 2355 Trane Rd.

Frequently asked questions

Do I need a notary for the installation permit extension application?
No. The application has no notary block and lists no notarized attachment or sworn step; it asks for the current date and applicant details.
How do I submit the installation permit extension application?
The request must be received by the Department before the permit expires. The form lists Development Services at 2355 Trane Rd, Bullhead City, AZ 86442.
When must Bullhead City receive the extension request?
The form says the request must be received by the Department before the permit's expiration date.
What information does the application request?
It asks for applicant and permit details, a detailed explanation for the extension, and current installer, contractor, or subcontractor information if changes were made.

Need something notarized?

This Application for Six Month Extension on Installation Permit doesn’t need a notary — but if you have another Bullhead City form that does, a commissioned online notary can help.