Who completes the Right-of-Way Permit Certification Form?

The applicant completes and signs the form for permitted work involving public infrastructure improvements in the right of way. A City inspector also signs it.

Do I need a notary for the Right-of-Way Permit Certification Form?

No. The form has signature and date fields for the applicant and City inspector, but no notary block. It mentions related ADA compliance, as-built, and inspection materials without saying they are notarized or sworn.

What does the applicant certify?

The applicant certifies that improvements are complete under approved permits and comply with applicable requirements. The form also addresses ADA compliance, as-built records, drainage-system inspection video, and possible bond changes.

Sammamish, WA · King County

No notary required

Right-of-Way Permit Certification Form

Applicants and City inspectors complete this form to certify improvements made under a Sammamish public right-of-way permit.

What this form is

This form applies to construction and utility work in the public right of way when an issued permit includes alterations or improvements to public infrastructure, such as sidewalks or streets. The applicant certifies that improvements meet permit and legal requirements and addresses items such as ADA compliance, as-built records, and drainage-system inspection video. The applicant and City inspector both sign it; performance bonds cannot be released or revised until then.

Who needs it

Applicants with an issued right-of-way permit involving public infrastructure improvements complete the form, and a City inspector also signs it.

How to submit it

Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the submittal documents.

About notarization

This form is signed without a notary; it mentions related ADA compliance, as-built, and inspection materials but does not say they are notarized or sworn.

How to submit this form

1
Download The Form
Download the Right-of-Way Permit Certification Form.
2
Complete And Sign
Fill in the applicant and permit details, then sign and date the form.
3
Gather Submittal Documents
Include the form with the rest of the submittal documents; it addresses ADA compliance, as-built records, and drainage-system inspection video.
4
Upload To MyBuildingPermit.com
Upload the completed and saved form in the “File Upload” section of MyBuildingPermit.com.

Frequently asked questions

Who completes the Right-of-Way Permit Certification Form?: The applicant completes and signs the form for permitted work involving public infrastructure improvements in the right of way. A City inspector also signs it.
Do I need a notary for the Right-of-Way Permit Certification Form?: No. The form has signature and date fields for the applicant and City inspector, but no notary block. It mentions related ADA compliance, as-built, and inspection materials without saying they are notarized or sworn.
How do I submit the Right-of-Way Permit Certification Form?: Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the submittal documents.
What does the applicant certify?: The applicant certifies that improvements are complete under approved permits and comply with applicable requirements. The form also addresses ADA compliance, as-built records, drainage-system inspection video, and possible bond changes.

Need something notarized?

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