Permit and Application Extension Request

This form is for City-issued permits or applications that have expired or are close to their expiration date.

Enter associated permit or application number, (e.g. RES-123456, CMI-123456, DMO-123456, MPE-123456, …)
MM slash DD slash YYYY
Site Address(Required)
Extension Requested(Required)
Contact Name(Required)

You will be contacted once your request has been processed.

Upon approval, please schedule your inspections online or by phone, 360-487-7890.