Bainbridge Island, WA · Kitsap County
Maintenance Affidavit
Buoy owners use this affidavit to state their intention to complete in-water maintenance within 90 days and identify planned repairs or replacements.
What this form is
The Maintenance Affidavit is for buoy owners who intend to complete in-water maintenance within the next 90 days. It asks for the owner's name, project and buoy identifier, planned work on listed buoy components, signature, address, and date. The form states that replacing or disturbing an embedment-style or surface anchor requires a new application to the City of Bainbridge Island.
Who needs it
A buoy owner planning in-water maintenance within the next 90 days uses this affidavit to identify the components they plan to repair or replace.
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 without a notary; the signer just signs and dates it on the form.
How to submit this form
- 1
Download The Affidavit
Download the Maintenance Affidavit PDF.
- 2
Complete The Form
Enter the buoy owner's name, project and buoy identifier, planned component work, address, signature, and date.
- 3
Check Anchor Work
If the work replaces or disturbs an embedment-style or surface anchor, the form says a new city application is required.
- 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
- Do I need a notary for the Maintenance Affidavit?
- No. The affidavit has signature and date lines but no notary block; the signer just signs and dates the form.
- How do I submit the Maintenance Affidavit?
- The form names the City of Bainbridge Island Department of Planning and Community Development but gives no submission instructions. Check the city website for current contact details.
- What does the Maintenance Affidavit certify?
- The buoy owner certifies their intention to complete in-water maintenance within the next 90 days and identifies the components they plan to repair or replace.
- When is a new city application required?
- The form says a new application to the City of Bainbridge Island is required to replace or disturb an embedment-style anchor or surface anchor.
