Lakewood, WA · Pierce County
Request for Permit Extension
Permit holders or their representatives use this form to request more time for permitted work and explain the reason for the extension.
What this form is
This form requests an extension for a building permit when authorized work has not started within 180 days or has been suspended or abandoned for 180 days. The applicant provides the permit number, site address, owner name, and reason for the request. The form states that the request must be in writing and demonstrate justifiable cause.
Who needs it
A permit holder, applicant, or contractor seeking more time for work authorized by a building permit may use this form.
How to submit it
Explain the reason for the extension request and return the form via the email you received it from.
About notarization
This document is signed without a notary; the applicant enters a name or role and date, and the form lists no sworn or notarized attachment.
How to submit this form
- 1
Download The Form
Download the Request for Permit Extension PDF.
- 2
Complete The Request
Enter the permit number, site address, owner name, and reason for requesting an extension.
- 3
Review Supporting Materials
The form does not list required attachments; explain the justifiable cause in the space provided.
- 4
Sign And Date
Enter the applicant's name or role and the date.
- 5
Return The Form
Return it via the email you received it from.
Frequently asked questions
- What does the permit extension request ask for?
- It asks for the permit number, site address, owner name, the reason for the extension, and the applicant's name or role and date.
- Who can request a permit extension?
- The form includes a name or role field with examples such as applicant and contractor. It is for requesting more time for work authorized by a permit.
- Do I need a notary for the Request for Permit Extension?
- No. This document is signed without a notary. The signer provides a name or role and date, and the form lists no sworn or notarized attachment.
- How do I submit the permit extension request?
- Explain the reason for the request and return the completed form via the email you received it from.