Sammamish, WA · King County

No notary required

Right-Of-Way Permit Extension Request Form

Applicants with an existing Sammamish right-of-way permit use this form to request an extension when one of the listed eligibility criteria has been met.

What this form is

This form lets an applicant with an existing right-of-way permit request that it remain active after its initial expiration date. The form describes qualifying circumstances, including active construction expected to continue beyond 180 days, a timely job start, or construction delays, and asks for applicant, property, project, inspection, and completion details. It also requires the applicant or representative to certify, sign, and date the request.

Who needs it

An applicant with an existing Sammamish right-of-way permit who meets one of the extension criteria listed on the form may submit this request.

How to submit it

Complete and save the form, then upload it to the “File Upload” section of the associated permit at MyBuildingPermit.com.

About notarization

This form is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant or representative just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Right-Of-Way Permit Extension Request Form.

  2. 2

    Complete The Form

    Enter applicant or representative, property, project, inspection, permit expiration, and scheduled completion information.

  3. 3

    Sign And Date

    Certify the information is true and complete, then sign and date the form.

  4. 4

    Upload The Form

    Save the completed form and upload it to the “File Upload” section of the associated permit at MyBuildingPermit.com.

Frequently asked questions

What is the Sammamish Right-Of-Way Permit Extension Request Form?
It lets an applicant with an existing right-of-way permit ask for the permit to remain active after its initial expiration date, when a listed extension criterion is met.
Who can request a right-of-way permit extension?
An applicant with an issued right-of-way permit may request an extension if the circumstances meet one of the criteria described on the form.
How do I submit the Sammamish extension request?
Complete and save the form, then upload it to the “File Upload” section of the associated permit at MyBuildingPermit.com.
Do I need a notary for the Right-Of-Way Permit Extension Request Form?
No. The form has an applicant or representative signature and date line, but no notary block or notarized attachment is listed.

Need something notarized?

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