University Place, WA · Pierce County

No notary required

Right-of-Way Permit Application

This application requests permission to perform work in the public right-of-way; contractors, customers, or agencies provide project and contact details.

What this form is

Use this application to request a University Place permit for work in the right-of-way; the form is not a valid permit until a city representative reviews and issues it. It asks for project, applicant, contractor, and permit-contact information, along with a project description and any special conditions. The application requires a certificate of liability insurance naming the City as additional insured, and the form lists permit conditions for the work.

Who needs it

Contractors, customers, or agencies planning work in the right-of-way can use this application to request a permit from the City.

How to submit it

Apply in person or email the application to [email protected]. The form also requires a certificate of liability insurance naming the City as additional insured.

About notarization

This document is signed and dated without a notary; it requires a certificate of liability insurance, but does not say that the certificate must be notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Right-of-Way Permit Application from this page.

  2. 2

    Complete The Form

    Fill in the project, applicant, contractor, permit-contact, and project-description fields.

  3. 3

    Gather Required Documents

    Include a certificate of liability insurance naming the City as additional insured; the form also refers to an approved drawing.

  4. 4

    Submit To The City

    Apply in person or email the application to [email protected].

Frequently asked questions

Do I need a notary for the Right-of-Way Permit Application?
No. The application has a signature and date line, but no notary block. It requires a certificate of liability insurance naming the City as additional insured; the form does not say the certificate must be notarized.
How do I submit the Right-of-Way Permit Application?
The form says you may apply in person or by emailing [email protected]. Include the required certificate of liability insurance naming the City as additional insured.
What information does the application request?
It requests project and contact details, contractor information, a project description, and special conditions. The form also has fields for project valuation, agency project number, and bond or assignment of funds number.
What must accompany the application?
The form requires a certificate of liability insurance naming the City as additional insured. It also refers to an approved drawing for the utility placement or installation.