Lake Stevens, WA · Snohomish County
Construction Right-of-Way Road and Street Closure Agency Notification
This notification form is for permit holders or agents coordinating temporary road or lane closures for construction projects in Lake Stevens.
What this form is
The form notifies the listed agencies about construction projects requiring a temporary lane or road closure under an issued Right-of-Way Permit. The form and an Affidavit of Notice must be completed at least 14 days before the approved construction start date. It requests the project address, streets and closure dates and times, company and contact details, and the permittee or agent’s signature.
Who needs it
A permittee or agent with an issued Right-of-Way Permit for construction requiring a temporary lane or road closure must complete this notification.
How to submit it
Complete the form and send it to the listed agencies, attaching copies of the traffic control plan and, if applicable, a detour map. The form lists agency addresses and says to call Public Works with questions.
About notarization
This notification is signed and dated without a notary; it also requires an Affidavit of Notice, but the document does not say that affidavit must be notarized.
How to submit this form
- 1
Download The Form
Download the Construction Right-of-Way Road and Street Closure Agency Notification PDF.
- 2
Complete The Form
Enter the project address, streets and closure dates and times, company and contact information, then sign and date the form.
- 3
Gather Attachments
Complete the Affidavit of Notice and attach copies of the traffic control plan and, if applicable, a detour map.
- 4
Send To Listed Agencies
Send the completed form and attachments to the agencies listed on the form at least 14 days before the approved construction start date.
Frequently asked questions
- Do I need a notary for the Right-of-Way closure notification?
- No. The notification is signed and dated without a notary. It also requires an Affidavit of Notice, but the document does not say that affidavit must be notarized.
- How do I submit the closure notification?
- Complete the form and send it to the agencies listed on it. Include copies of the traffic control plan and, if applicable, a detour map.
- When must the notification be completed?
- The form and Affidavit of Notice must be completed at least 14 days before the approved construction start date for the issued Right-of-Way Permit.
- What information does the form request?
- It asks for the site or project address, streets to be closed, closure dates and times, company name, contact details, and the permittee or agent’s signature and date.
Need something notarized?
This Construction Right-of-Way Road and Street Closure Agency Notification doesn’t need a notary — but if you have another Lake Stevens form that does, a commissioned online notary can help.