Permits, Regulations, and Forms

Submitting Test Reports to the City of Bainbridge Island
The City of Bainbridge Island accepts most versions of backflow assembly test reports provided they are completed in accordance with our guidelines and contain all of the information required on the Backflow Assembly Test Report Form. Certified testers can also use our Backflow Assembly Test Report Form.
  
Forms
Bulk Water Withdraw
Vehicles must be inspected by a Cross-Connection Specialist prior to issuance of a Public Works Water Withdraw permit. Call or email Aaron Claiborne.

The City of Bainbridge Island provides a bulk water dispensing station for non-potable construction purposes. The City does not allow water to be withdrawn from fire hydrants unless approved in writing by the Public Works - Operations and Maintenance Manager. Please call within a 24-hour notice (206.842.1212) to learn about bulk water billing rates and to setup an account.

Links and References 
 - City of Bainbridge Island Municipal Code 13.20
 - Washington State Administrative Code WAC 246-290-490
 - State building code adoption and amendment of the uniform plumbing code
 - Washington State Department of Health - Cross Connection Control
 - USC Foundation for Hydraulic Research and Cross Connection Control
 - American Water Works Association
 - Washington Certification Services
   
More Information
For answers to specific cross-connection control questions, contact the Cross Connection Control Specialists at the Operations Division of the Public Works Department or email.

Contact Us

  1. Operations & Maintenance
    7305 Hidden Cove Road
    Bainbridge Island, WA 98110

    Ph: 206-842-1212
    Fx: 206-780-5104
    Email

    Staff Directory
    --Report Pollution (Kitsap) 360-337-5777
    --Call Before you Dig: 811