Bellevue, WA · King County
Wireless Communication Facility Supplemental Information
This supplemental form helps applicants document whether a proposed modification to an existing wireless communication facility qualifies for review under Section 6409(a).
What this form is
Bellevue requires this completed chart as part of a Predevelopment Services application (DC permit) for a proposed modification to an existing wireless communication facility under Section 6409(a). It asks applicants to identify the modification and provide details about the existing and proposed facility, including height, appurtenances, cabinets, excavation, concealment, and conditions of approval.
Who needs it
Applicants proposing a Section 6409(a) modification to an existing wireless communication facility in Bellevue need to complete this supplemental chart.
How to submit it
Submit the completed chart as part of the Predevelopment Services application (DC permit) required for the proposed modification.
About notarization
This form is completed without a notary; it does not identify a notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Wireless Communication Facility Supplemental Information PDF.
- 2
Complete The Chart
Fill out the chart, including the proposed modification and applicable facility details.
- 3
Gather Supporting Documentation
If the facility was previously approved, provide documentation of existing approvals with the DC permit application.
- 4
Submit With The Application
Submit the completed chart as part of the required Predevelopment Services application (DC permit).
Frequently asked questions
- What is the Wireless Communication Facility Supplemental Information form?
- It is a chart used to document whether a proposed modification to an existing wireless communication facility meets Section 6409(a) criteria.
- Who needs to complete this form?
- Applicants proposing a modification to an existing wireless communication facility under Section 6409(a) must complete the chart and submit it with a Predevelopment Services application (DC permit).
- Do I need a notary for the Wireless Communication Facility Supplemental Information form?
- No. This form is completed without a notary, and it does not identify a notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the completed form?
- Submit the completed chart as part of the Predevelopment Services application (DC permit) required for the proposed modification.
Need something notarized?
This Wireless Communication Facility Supplemental Information doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.