Do I need a notary for the Refund Request?

No. The form has a payor signature and date line but no notary block; the payor signs and dates it.

How do I submit the Refund Request?

Upload the completed request and required documentation to the permit record at www.mybuildingpermit.com. Include a PDF copy of the receipt.

What documentation must I include?

The checklist requires a PDF copy of the receipt for the plan review or permit application. Label the document to match the checklist title.

Who can receive the refund?

The form says refunds are issued only to the payor of record who paid the fees. It asks you to select whether the check should be issued to the individual or company named.

Sammamish, WA · King County

No notary required

Refund Request

Permit fee payors use this form to request a refund from the City of Sammamish and provide the information needed to review their request.

What this form is

The Refund Request form is for a permit fee payor seeking a refund from the City of Sammamish. The form says requests can only be approved within 180 days of application submission, and the maximum refund is 80% of fees paid, depending on timing. It asks for payor and project details, the reason for the request, a receipt copy, and the payor’s signature and date.

Who needs it

The original payor of record who wants to request a refund for plan review or building permit fees needs to complete this form.

How to submit it

Upload the request form and required documentation to the permit record online at www.mybuildingpermit.com. Include a PDF copy of the receipt and label it to match the checklist title.

About notarization

This document is signed without a notary; the payor just signs and dates the form.

How to submit this form

1
Download The Form
Download the Sammamish Refund Request PDF.
2
Complete The Form
Enter the payor and application information, give the reason for the request, and sign and date the form.
3
Gather The Receipt
Prepare a PDF copy of the receipt for the plan review or permit application, labeled to match the checklist title.
4
Submit The Request
Upload the request and required documentation to the permit record at www.mybuildingpermit.com.

Frequently asked questions

Do I need a notary for the Refund Request?: No. The form has a payor signature and date line but no notary block; the payor signs and dates it.
How do I submit the Refund Request?: Upload the completed request and required documentation to the permit record at www.mybuildingpermit.com. Include a PDF copy of the receipt.
What documentation must I include?: The checklist requires a PDF copy of the receipt for the plan review or permit application. Label the document to match the checklist title.
Who can receive the refund?: The form says refunds are issued only to the payor of record who paid the fees. It asks you to select whether the check should be issued to the individual or company named.

Need something notarized?

This Refund Request doesn’t need a notary — but if you have another Sammamish form that does, a commissioned online notary can help.