Coupeville, WA · Island County
Application to Perform Work on Town Right-of-Way
This application is for people or contractors seeking permission to install, pave, dig, excavate, or perform other specified work in a Town right-of-way or easement.
What this form is
The Town requires this application for work in a right-of-way or easement that involves installation, paving, digging, cutting, excavation, tunneling, breaking up material, or depositing dirt or excavated material. It asks for applicant and site details, contractor license information, a work description, a drawing, and anticipated dates. It also includes inspection requirements, general provisions, and listed permit and inspection fees.
Who needs it
Applicants planning the specified construction or other work within a Town right-of-way or easement need to complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates it, and the application requests an attached drawing.
How to submit this form
- 1
Download The Application
Download the Town right-of-way work application PDF.
- 2
Complete The Application
Provide applicant and site details, contractor license information, a work description, and anticipated construction dates.
- 3
Attach A Drawing
Attach a drawing that clearly shows the extent of the proposed work.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What work requires this application?
- The form says an application is required for work within a Town right-of-way or easement involving installation, paving, digging, cutting, excavation, tunneling, breaking up material, or depositing dirt or excavated material.
- What should I include with the application?
- Describe the nature, location, and purpose of the proposed work and attach a drawing that clearly shows its extent. The form also asks for applicant, location, contractor, and anticipated construction date details.
- Do I need a notary for this right-of-way application?
- No. The application has a signature and date line but no notary block. The signer just signs and dates it; an attached drawing is requested.
- How do I submit the right-of-way application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application to Perform Work on Town Right-of-Way doesn’t need a notary — but if you have another Coupeville form that does, a commissioned online notary can help.