Medina, WA · King County

No notary required

Right-of-Way Permit Application

This application is for property owners, contractors, or agents seeking city approval for construction or other work in a Medina right-of-way.

What this form is

The City of Medina requires an approved and issued Right-of-Way Use Permit before digging, trenching, cutting, or otherwise altering a city right-of-way. The application asks for the project location and contact details, proposed work, excavation dimensions and methods, traffic control, and any street closures. Applicants also sign conditions covering construction requirements, utility notification, restoration, and maintenance.

Who needs it

Property owners, contractors, or agents planning construction or other work in a City of Medina right-of-way 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 application is signed and dated without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Right-of-Way Permit Application PDF.

  2. 2

    Complete The Application

    Enter the project location and contact information, describe the work and excavation, and provide traffic-control and street-closure details.

  3. 3

    Gather Project Information

    Review the right-of-way construction requirements and provide any project information the application requests.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the city department named on the form.

Frequently asked questions

What is the Medina Right-of-Way Permit Application for?
It requests city approval for work in a Medina right-of-way, such as excavation, utility installation, or street use.
Who completes this application?
The application includes fields for an agent or primary contact and asks for project, contact, excavation, and traffic-control details.
Do I need a notary for the Right-of-Way Permit Application?
No. The application has a signature and date line but no notary block; the document does not identify a notarized or sworn attachment or related step.
How do I submit the Right-of-Way Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Right-of-Way Permit Application doesn’t need a notary — but if you have another Medina form that does, a commissioned online notary can help.