What work does this application cover?

The application lists underground work in paved or unpaved areas, material delivery, and surface improvements. It also asks whether pavement in the right-of-way will be cut.

What should I attach to the application?

Attach plans, a sketch of the work, or a traffic control plan if applicable. The form also asks for a description of the work and its proposed duration and schedule.

Do I need a notary for the Right-of-Way Use Permit Application?

No. The application has signature and date fields but no notary block. The form does not identify any attachment or related step that must be notarized or sworn.

How do I submit the Right-of-Way Use Permit Application?

Submit it to Mercer Island Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040.

Mercer Island, WA · King County

No notary required

Right-of-Way Use Permit Application

Contractors and other applicants use this application to request a Mercer Island permit for work or material delivery in the public right-of-way.

What this form is

Use this application to request a permit for work in Mercer Island’s right-of-way, including underground work, material delivery, and surface improvements. The form asks for the job address and applicant, contact, and contractor details, along with the type and description of work and its schedule. Attach plans, a work sketch, or a traffic control plan if applicable.

Who needs it

Applicants planning underground work, material delivery, pavement cutting, or surface improvements in Mercer Island’s right-of-way can use this application.

How to submit it

Submit the application to Mercer Island Community Planning & Development, 9611 SE 36th Street, Mercer Island, WA 98040.

About notarization

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

How to submit this form

1
Download The Application
Download the Right-of-Way Use Permit Application PDF.
2
Complete The Application
Provide the job address, applicant and contractor details, work type, work description, and proposed duration and schedule.
3
Gather Attachments
Attach plans, a sketch of the work, or a traffic control plan if applicable.
4
Sign And Date
Print the applicant’s name, then sign and date the application.
5
Submit To The City
Submit the application to Mercer Island Community Planning & Development at the address listed on the form.

Frequently asked questions

What work does this application cover?: The application lists underground work in paved or unpaved areas, material delivery, and surface improvements. It also asks whether pavement in the right-of-way will be cut.
What should I attach to the application?: Attach plans, a sketch of the work, or a traffic control plan if applicable. The form also asks for a description of the work and its proposed duration and schedule.
Do I need a notary for the Right-of-Way Use Permit Application?: No. The application has signature and date fields but no notary block. The form does not identify any attachment or related step that must be notarized or sworn.
How do I submit the Right-of-Way Use Permit Application?: Submit it to Mercer Island Community Planning & Development at 9611 SE 36th Street, Mercer Island, WA 98040.

Need something notarized?

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