Bellevue, WA · King County
Application for Variance of Sewer Connection
Property owners or their agents use this application to request permission to construct an on-site septic disposal system instead of connecting to the city sewer.
What this form is
A property owner or agent uses this application to ask the City of Bellevue for a variance from the city sewer connection requirement and permission to construct an on-site septic disposal system. The form requests owner and property information, a signature, and the date. It must be submitted with a King County Septic Disposal Permit, a vicinity map, the property's fair market value, and a signed temporary sewer service agreement.
Who needs it
A property owner or agent seeking permission to construct an on-site septic disposal system instead of connecting to the city sewer needs this application.
How to submit it
Submit the completed application and required supporting items to City of Bellevue Utilities/Engineering, 450 110th Ave. NE, Bellevue, WA 98004.
About notarization
This application is signed and dated without a notary; it requires a signed temporary sewer service agreement but does not say that the agreement must be notarized.
How to submit this form
- 1
Download the Application
Download the Application for Variance of Sewer Connection PDF.
- 2
Complete the Applicant Section
Provide the owner and property information requested in Section A, then sign and date the application.
- 3
Gather Required Submittals
Include a King County Septic Disposal Permit, vicinity map, fair market value of the property, and signed temporary sewer service agreement.
- 4
Submit to Utilities/Engineering
Submit the application and supporting items to City of Bellevue Utilities/Engineering at 450 110th Ave. NE, Bellevue, WA 98004.
Frequently asked questions
- What does the sewer connection variance application request?
- It asks the City of Bellevue for a variance from the city sewer connection requirement and permission to construct an on-site septic disposal system.
- What must I include with the application?
- The form lists a King County Septic Disposal Permit, a vicinity map, the property's fair market value, and a signed temporary sewer service agreement as required submittals.
- Do I need a notary for this application?
- No. The application is signed and dated without a notary. It also requires a signed temporary sewer service agreement, but does not say that agreement must be notarized.
- How do I submit the sewer connection variance application?
- Submit the completed application and required supporting items to City of Bellevue Utilities/Engineering, 450 110th Ave. NE, Bellevue, WA 98004.
Need something notarized?
This Application for Variance of Sewer Connection doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.