Bellevue, WA · King County
Residential Sewer Use Certification Sewage Treatment Capacity Charge
Property owners or their representatives complete this form for new sewer connections, reconnections, or changes in use of existing connections.
What this form is
This form records residential property and customer details used to determine the sewage treatment capacity charge for a new sewer service. It asks about the property, residential units, possible demolition credits, sewer and building permit details, and the owner or representative’s contact information and signature. The form says customers establishing new service using metropolitan sewage facilities are subject to a capacity charge.
Who needs it
An owner or representative completes this 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 does not require notarization; the owner or representative signs and dates the certification.
How to submit this form
- 1
Download The Form
Download the Residential Sewer Use Certification Sewage Treatment Capacity Charge form.
- 2
Complete The Form
Print or type the requested property, residential unit, demolition, and owner or representative information.
- 3
Gather Property Details
Provide the required property tax parcel number and the sewer or building permit details available for the property.
- 4
Sign And Date
The owner or representative signs and dates the certification.
- 5
Submit The Form
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Residential Sewer Use Certification for?
- It provides information used to determine the sewage treatment capacity charge for a new sewer service, including property, residential unit, and sewer details.
- Who completes this form?
- The form is completed by the property owner or a representative for a new sewer connection, reconnection, or change of use of an existing connection.
- Do I need a notary for this sewer certification?
- No. This form has no notary block; the owner or representative signs and dates it.
- How do I submit this form?
- The form does not give submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Residential Sewer Use Certification Sewage Treatment Capacity Charge doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.