Bainbridge Island, WA · Kitsap County
Right-of-Way (ROW) Use Application & Permit
This application requests a Bainbridge Island permit for proposed work or other use in the public right-of-way and collects project, applicant, owner, and impact details.
What this form is
Use this application to request a City of Bainbridge Island permit for work or other use in the public right-of-way. It asks for project and contact information, the proposed work, affected infrastructure and mobility, and an estimated project value. The application lists supporting items such as a site plan, traffic control plan, insurance certificate, surety bond, and fee; some items apply only when required.
Who needs it
A permittee, property owner, contractor, or authorized agent proposing work or another listed use in Bainbridge Island’s public right-of-way should complete the application.
How to submit it
The form lists Public Works – Engineering at 280 Madison Avenue N, Bainbridge Island, WA 98110, and [email protected]. It says a Traffic Impact Form must be sent to that email 10 working days before construction starts.
About notarization
This document is signed without a notary; the applicant declares under penalty of perjury that the information is correct and complete, then signs and dates the application.
How to submit this form
- 1
Download the Application
Download the Right-of-Way Use Application & Permit PDF.
- 2
Complete the Application
Enter project, permittee, owner, proposed work, and right-of-way impact details, then sign and date the application.
- 3
Gather Required Items
Include the applicable site plan, traffic control plan, traffic impact form, insurance certificate, surety bond, and fee listed on the form.
- 4
Submit to Public Works
Use the Public Works – Engineering contact information listed on the form. Email the Traffic Impact Form 10 working days before construction starts.
Frequently asked questions
- What does the Right-of-Way Use Application cover?
- It requests a Bainbridge Island permit for proposed work or other use in the public right-of-way. The form collects project details, contact information, affected areas, and proposed work.
- What supporting items may be needed?
- The application lists a site plan, traffic control plan, traffic impact form when applicable, insurance certificate, surety bond when applicable, and fee. It also identifies items that may be required before permit issuance.
- Do I need a notary for the Right-of-Way Use Application?
- No. The application is signed without a notary, but the applicant declares under penalty of perjury that the information is correct and complete.
- How do I submit the Right-of-Way Use Application?
- The form lists Public Works – Engineering at 280 Madison Avenue N, Bainbridge Island, WA 98110, and [email protected]. Send the Traffic Impact Form to that email 10 working days before construction starts.