Property Information
You must enter either a Tax Map & Lot ID (i.e. 1S234AB01400) or Site Address, but you do not have to enter both.
Tax lot ID(s):
Site Address:
City:
State:
Zip:
Nearest Cross Street:
In which jurisdiction would you get permits for this project?
Washington County
Clackamas County
Multnomah County
Banks
Beaverton
Durham
Cornelius
Forest Grove
Gaston
Hillsboro
King City
Lake Oswego
North Plains
Portland
Rivergrove
Sherwood
Tigard
Tualatin
Owner Information
Name:
Company:
Address:
City:
State:
Zip:
Phone/Fax:
E-Mail:
Applicant Information
Name:
Company:
Title:
Address:
City:
State:
Zip:
Phone/Fax:
E-Mail:
Development Activity
This is a required field. Please select one development activity or enter a description for other.
Check all that apply
Other:
Off-site Work
Will the project involve any off-site work?
Location and description of off-site work
Site Plan
Would you like to submit a site plan? Including a site plan with your submittal plan will reduce your review time.
Additional Comments
Additional comments or information that may be needed to understand your project
Submit
By submitting this form the Owner, or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site.
Additionally, I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate.
Entries missing a fax number will be mailed to the Applicant's postal address. Submittals returned by postal mail will take additional time beyond our standard working timeframe to reach the applicant.
Due to increased submittal volumes, it can take approximately 30 business days to process your request.
