Centralia, WA · Lewis County

No notary required

Small Wireless Communication Facility Permit Application

This application is for wireless providers seeking City of Centralia permits to install small wireless communication facilities in the right-of-way or on private property.

What this form is

The City of Centralia Public Works Department uses this application to review proposed small wireless communication facilities for compliance with city requirements. Applicants provide contact and business information, facility locations and details, and project documents such as drawings, agreements, and insurance documentation. The application describes a digital review process and states that fees are due before review.

Who needs it

Wireless providers proposing small wireless communication facilities in Centralia must submit this application and the required project documentation.

How to submit it

Submit completed application and required documentation digitally to [email protected]; do not send paper documents. The form lists a $250 fee per facility and a $150-per-facility resubmittal fee.

About notarization

This application is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the fillable Small Wireless Communication Facility Permit Application.

  2. 2

    Complete The Application

    Fill in the applicant and permit information and provide details for each proposed facility.

  3. 3

    Gather Required Documents

    Prepare the project narrative, design drawings, required agreements, insurance documents, and other checklist items that apply.

  4. 4

    Email The Submittal

    Email the completed application and required documents to [email protected]. Do not send paper documents.

Frequently asked questions

Do I need a notary for the Small Wireless Communication Facility Permit Application?
No. The application has signature and date fields but no notary block; the signer signs and dates it.
How do I submit the small wireless facility application?
Email the completed application and required documents digitally to [email protected]. The form says not to send paper documents.
What documents must accompany the application?
The checklist calls for a project narrative, design drawings, required agreements, traffic control information as applicable, an electrical permit when applicable, and insurance documents.
What fees does the application list?
The form lists a $250 fee per facility and a $150-per-facility resubmittal fee. It says fees are due before review.

Need something notarized?

This Small Wireless Communication Facility Permit Application doesn’t need a notary — but if you have another Centralia form that does, a commissioned online notary can help.