Moses Lake, WA · Grant County

No notary required

Authorization to Sign – Street and Utility Construction Permits

Companies use this form to name agents authorized to sign for and obtain Street and Utility Construction Permits from the City of Moses Lake.

What this form is

This form lets a company designate agents to bind it in dealings with the City of Moses Lake for obtaining Street and Utility Construction Permits. It asks for the company name, the names of authorized individuals, and a signer’s signature, printed name, title, and date. The form describes board resolution authorization for a partnership or owner consent for a sole proprietorship.

Who needs it

A company seeking Street and Utility Construction Permits needs this form to identify the individuals authorized to sign for and obtain them.

How to submit it

Submit the completed form to the Construction Management Program, 321 S Balsam St, PO Box 1579, Moses Lake, WA 98837.

About notarization

This form is signed and dated without a notary; partnerships authorize it by board resolution and sole proprietorships by owner consent.

How to submit this form

  1. 1

    Download The Form

    Download the Authorization to Sign form.

  2. 2

    Complete Company Details

    Enter the company name and the names of the individuals authorized to sign for and obtain the permits.

  3. 3

    Sign And Date

    Complete the signer’s signature, printed name, title, and date. Follow the form’s authorization note for partnerships or sole proprietorships.

  4. 4

    Submit To The City

    Send the completed form to the Construction Management Program at the address shown on the form.

Frequently asked questions

What does the Authorization to Sign form do?
It designates company agents authorized to bind the company in dealings with the City of Moses Lake to obtain Street and Utility Construction Permits.
Who completes this form?
A company seeking Street and Utility Construction Permits uses the form to name authorized individuals and provide the company and signer details.
Do I need a notary for the Authorization to Sign form?
No. The form is signed and dated without a notary. It states that a partnership’s action is authorized by board resolution or a sole proprietorship’s by owner consent.
How do I submit the Authorization to Sign form?
Submit it to the Construction Management Program at 321 S Balsam St, PO Box 1579, Moses Lake, WA 98837.

Need something notarized?

This Authorization to Sign – Street and Utility Construction Permits doesn’t need a notary — but if you have another Moses Lake form that does, a commissioned online notary can help.