Selah, WA · Yakima County

No notary required

Application for Street Break Permit

Property owners and contractors use this application to request approval for street, curb, alley, sidewalk, or driveway cutting or construction in Selah.

What this form is

This application requests approval for work involving a street, curb, alley, sidewalk, or driveway, including cuts, replacements, and right-of-way excavation. It asks for the work location, owner and contractor details, work dates, project purpose, and work type. New construction requires approved plans, and certain right-of-way work requires a sketch or drawing showing the property and proposed work.

Who needs it

Property owners or contractors planning street, curb, alley, sidewalk, driveway, or right-of-way work in Selah should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the application, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Application

    Download the Street Break Permit Application PDF.

  2. 2

    Complete The Application

    Enter the work location, dates, owner and contractor information, work purpose, and applicable work type.

  3. 3

    Gather Required Attachments

    Include approved plans for new construction and a sketch or drawing when applicable to right-of-way work.

  4. 4

    Submit To The City

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Selah Street Break Permit Application?
No. The application has an applicant signature and date field but no notary block; the signer just signs and dates it.
Who completes this application?
A property owner or contractor seeking approval for street, curb, alley, sidewalk, driveway, or right-of-way work completes the application.
What attachments may be needed?
For new construction, provide plans approved by the City of Selah Public Works Department. Some right-of-way work also calls for a sketch or drawing showing the property and proposed work.
How do I submit the application?
The form does not provide a submission address or method. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Application for Street Break Permit doesn’t need a notary — but if you have another Selah form that does, a commissioned online notary can help.