Ellensburg, WA · Kittitas County

No notary required

15 Day Rodent Abatement Verification Affidavit

Demolition permit applicants submit this affidavit to verify the required rodent baiting program before the city can issue a demolition permit.

What this form is

This affidavit verifies that the required 15-day rodent baiting program has been completed for a demolition project. Demolition permit applicants must turn it in to the Community Development Department before a permit can be issued; it asks for the permit number and site address, licensed pest control agent and property owner details, and the agent’s certification, signature, and date.

Who needs it

Applicants for a demolition permit need this affidavit completed by a licensed pest control agent and submitted before the city can issue the permit.

How to submit it

Turn in the completed affidavit to the Community Development Department at 501 N. Anderson, Ellensburg, WA 98926, before a demolition permit can be issued.

About notarization

This affidavit is signed and dated without a notary; the licensed pest control agent signs it, and the form identifies no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Rodent Abatement Verification Affidavit.

  2. 2

    Complete The Form

    Provide the demolition permit and site details, licensed pest control agent information, and property owner information.

  3. 3

    Have The Agent Sign

    Have the licensed pest control agent certify the requirements and sign and date the affidavit.

  4. 4

    Submit To The City

    Turn in the affidavit to the Community Development Department before a demolition permit can be issued.

Frequently asked questions

What does the rodent abatement affidavit verify?
It records the licensed pest control agent’s certification that they have read and understand the city’s rodent abatement requirements for a demolition project.
Who completes the affidavit?
The form requests demolition permit and site information, details for the licensed pest control agent and property owner, and the agent’s signature and date.
Do I need a notary for the Rodent Abatement Verification Affidavit?
No. This affidavit is signed and dated without a notary; the licensed pest control agent signs it, and the form identifies no notarized or sworn attachment.
How do I submit the Rodent Abatement Verification Affidavit?
Turn in the completed affidavit to the Community Development Department at 501 N. Anderson, Ellensburg, WA 98926, before a demolition permit can be issued.

Need something notarized?

This 15 Day Rodent Abatement Verification Affidavit doesn’t need a notary — but if you have another Ellensburg form that does, a commissioned online notary can help.