Othello, WA · Adams County
Request to Cancel, Extend, or Renew Permit
Permit holders use this form to ask the City of Othello to cancel a permit, request a six-month extension, or renew an eligible permit.
What this form is
The form lets an owner or contractor request cancellation when work has not started, a six-month extension, or renewal, excluding ROW and STE permit types. It asks for the permit number, property address, owner or contractor contact details, a detailed explanation, and the signer’s name, signature, and date. Extension requests must be received within 30 days before expiration; approval is limited to a maximum 180 calendar days.
Who needs it
An owner or contractor seeking to cancel, extend, or renew a City of Othello permit can complete this request.
How to submit it
The form names the City of Othello Building & Planning Department at 500 E Main Street, Othello, WA 99344. It lists a phone and fax number but does not state a submission method.
About notarization
This request is signed and dated without a notary; the document does not identify any notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Request to Cancel, Extend, or Renew Permit form.
- 2
Complete The Request
Enter the permit number, property address, owner or contractor contact details, and a detailed explanation; sign and date the request.
- 3
Check For Attachments
The form does not list any attachments.
- 4
Submit To The City
The form names the City of Othello Building & Planning Department at 500 E Main Street, Othello, WA 99344; it does not state a submission method.
Frequently asked questions
- What can I request with this Othello permit form?
- You can request cancellation if work has not started, a six-month extension, or renewal. Renewal excludes ROW and STE permit types.
- Do I need a notary for the Request to Cancel, Extend, or Renew Permit?
- No. The request is signed and dated without a notary, and the document does not identify a notarized or sworn attachment or related step.
- How do I submit the permit request?
- The form names the City of Othello Building & Planning Department at 500 E Main Street, Othello, WA 99344, but does not state a submission method.
- When must an extension request be received?
- A written extension request must be received within 30 days before the permit’s expiration date. The form states that an approved extension may be a maximum of 180 calendar days.