Ephrata, WA · Grant County

No notary required

Agent Authorization Form

Property owners use this form to authorize agents to act for them on activities involving a permit application and any resulting permit.

What this form is

This form authorizes one or more people to act as an agent for activities involving a permit application and any resulting permit. A landowner applying for a building permit must submit it with each applicable application if someone else, such as a contractor, engineer, or architect, will act as agent. It asks for the parcel, permit or construction request, agent names and companies, and owner signatures, dates, printed names, and titles or companies when applicable.

Who needs it

Landowners applying for a building permit need this form when they want someone else to act as their agent; tenants and other parties may also use it.

How to submit it

The form lists City of Ephrata Community Development at 121 Alder St. SW; submit it with each applicable application for permitting.

About notarization

This form is signed and dated without a notary; it does not identify any notarized attachment or related sworn step.

How to submit this form

  1. 1

    Download the Form

    Download the Agent Authorization Form PDF.

  2. 2

    Complete the Form

    Enter the parcel and permit or construction request, name the agents and their companies, and provide the required owner information.

  3. 3

    Sign and Date

    The legal owner or corporate representative signs and dates the form; corporations and trusts need a signature from an authorized governing member or agent.

  4. 4

    Submit with the Application

    Submit the completed form with each applicable application to City of Ephrata Community Development.

Frequently asked questions

What does the Agent Authorization Form do?
It lets a legal owner, tenant, or other party authorize named agents to act on their behalf regarding activities involving a permit application and any resulting permit.
Who must submit this form?
A landowner applying for a building permit must submit it with each applicable application if someone other than the landowner will act as agent. Tenants and other parties may also use it.
Do I need a notary for the Agent Authorization Form?
No. The form calls for signatures and dates, not notarization, and does not identify a notarized attachment or related sworn step.
How do I submit the Agent Authorization Form?
Submit it with each applicable application. The form lists City of Ephrata Community Development at 121 Alder St. SW.

Need something notarized?

This Agent Authorization Form doesn’t need a notary — but if you have another Ephrata form that does, a commissioned online notary can help.