Bellevue, WA · King County
Alternative Housing Sewer Use Certification
Owners or representatives complete this certification to report sewer use and residential customer equivalents for alternative housing properties.
What this form is
This certification records sewer use for alternative housing and calculates residential customer equivalents based on fixture units and other wastewater flow. It is to be completed for all new sewer connections, reconnections, or changes of use to existing connections. The form asks for property, owner, billing, permit, fixture, and wastewater information, plus details about any demolished structures.
Who needs it
Owners or representatives complete the form for a new sewer connection, reconnection, or change of use of an existing connection.
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 and dated without a notary; the signer confirms the information is correct and no notarized attachment or sworn step is specified.
How to submit this form
- 1
Download The Form
Download the Alternative Housing Sewer Use Certification PDF.
- 2
Complete The Form
Enter owner, property, billing, permit, fixture, and wastewater information.
- 3
Gather Attachments
If reporting demolition of a pre-existing structure, include a copy of the demolition permit.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Alternative Housing Sewer Use Certification for?
- It reports sewer use for alternative housing and helps calculate residential customer equivalents for capacity charge purposes.
- Who completes this sewer use form?
- An owner or representative completes it for a new sewer connection, reconnection, or change of use to an existing connection.
- Do I need a notary for the Alternative Housing Sewer Use Certification?
- No. The document has a signature and date line but no notary block; the signer confirms the information is correct.
- How do I submit the Alternative Housing Sewer Use Certification?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Alternative Housing Sewer Use Certification doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.