Redmond, WA · King County

No notary required

Permit Extension and Re-Activation Request Form

This form lets a permit holder or authorized agent request an extension for a permit that has not expired or reactivate an expired permit.

What this form is

Use this form to request an extension for a permit that has not expired or to request reactivation of an expired permit. It asks for the requester’s name, company, email, phone, permit number, reason for the request, and whether an extension or reactivation is requested. The permit holder or authorized agent certifies the information and signs and dates the form.

Who needs it

A permit holder or authorized agent seeking an extension for a permit that has not expired or reactivation of an expired permit should complete this form.

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 form is signed and dated without a notary; the signer certifies the request, and the document lists no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Extension and Re-Activation Request Form.

  2. 2

    Complete The Request

    Provide your contact information, permit number, reason for the request, and whether you are requesting an extension or reactivation.

  3. 3

    Sign And Date

    The permit holder or authorized agent prints their name, signs, and dates the form.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What is the Permit Extension and Re-Activation Request Form for?
It is used to request an extension for a permit that has not expired or to request reactivation of an expired permit.
Who can request a permit extension or reactivation?
The form is for a permit holder or authorized agent. The signer certifies that they are authorized to make the request.
Do I need a notary for the Permit Extension and Re-Activation Request Form?
No. The form is signed and dated without a notary; the signer certifies the request, and no notarized or sworn attachment is listed.
How do I submit the Permit Extension and Re-Activation Request Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Permit Extension and Re-Activation Request Form doesn’t need a notary — but if you have another Redmond form that does, a commissioned online notary can help.