Washougal, WA · Clark County

No notary required

Request for Withdrawal, Extension and Re-Activation of Unissued Building Permit Applications

This form lets applicants request withdrawal, extension, or re-activation of an unissued building permit application from Washougal’s Building Division.

What this form is

Applicants use this form to ask Washougal’s Building Division to withdraw, extend, or re-activate a building permit application that has not been issued. The form asks for the job address, permit application or permit number, applicant contact and mailing details, the requested action, and a reason. It also requires the applicant’s signature and date and includes a certification under penalty of perjury.

Who needs it

An applicant with a building permit application that has not been issued can use this form to request withdrawal, an extension, or re-activation.

How to submit it

Mail the completed form to City of Washougal Community Development – Building Division, 1701 C Street, Washougal, WA 98671. Upon approval and processing, a copy showing approval and the receipt will be sent by return mail or email.

About notarization

This form has no notary block; the applicant signs and dates it and makes a certification under penalty of perjury, but no separate notarized attachment is listed.

How to submit this form

  1. 1

    Download The Form

    Download the unissued building permit request form.

  2. 2

    Complete The Form

    Provide the job and permit details, applicant contact and mailing information, requested action, and reason.

  3. 3

    Sign And Date

    Sign and date the form and complete the certification under penalty of perjury.

  4. 4

    Mail The Form

    Mail it to the Washougal Community Development – Building Division address printed on the form.

Frequently asked questions

Do I need a notary for the unissued building permit request form?
No. The form has no notary block; the applicant signs and dates it and makes a certification under penalty of perjury. No separate notarized attachment is listed.
How do I submit the unissued building permit request form?
Mail it to City of Washougal Community Development – Building Division, 1701 C Street, Washougal, WA 98671. An approved and processed copy and receipt will be sent by return mail or email.
What can I request with this form?
You can request withdrawal, an extension, or re-activation of a building permit application that has not been issued.

Need something notarized?

This Request for Withdrawal, Extension and Re-Activation of Unissued Building Permit Applications doesn’t need a notary — but if you have another Washougal form that does, a commissioned online notary can help.