Do I need a notary for the Right-of-Way Use Application?

No. The document has no notary block; the applicant signs and dates it and makes a declaration under penalty of perjury.

Who completes the right-of-way use application?

The applicant or authorized agent provides project details and applicant information. The form also requests owner information and a signature.

What materials may be required with the application?

The form lists a site plan, traffic control plan, traffic impact form if applicable, insurance certificate, surety bond if applicable, and fee.

How do I submit the right-of-way use application?

The form names Public Works – Engineering and provides its address and ROWPermit@bainbridgewa.gov. It does not specify a submission method.

Bainbridge Island, WA · Kitsap County

No notary required

Right-of-Way (ROW) Use Application & Permit

This application requests a Bainbridge Island permit for proposed work or use in the public right-of-way and is completed by the applicant or authorized agent.

What this form is

Use this application to request a permit for work or use in Bainbridge Island’s public right-of-way. It asks for project and property details, applicant and owner information, the proposed work, affected infrastructure and mobility, and a cost estimate. The form lists required application materials, which may include a site plan, traffic control plan, insurance certificate, surety bond, and fee.

Who needs it

Applicants, property owners, authorized agents, and contractors proposing work or use in Bainbridge Island’s public right-of-way may need this permit application.

How to submit it

The form identifies City of Bainbridge Island Public Works – Engineering at 280 Madison Avenue N, Bainbridge Island, WA 98110, and [email protected]. It lists a fee among the required application materials but does not state an amount.

About notarization

This document is signed without a notary; the applicant declares under penalty of perjury that the information is correct and signs and dates the application.

How to submit this form

1
Download The Application
Download the Right-of-Way (ROW) Use Application & Permit PDF.
2
Complete The Application
Fill in the project, property, applicant, owner, proposed-work, impact, and cost estimate information requested.
3
Gather Listed Materials
Include the applicable items listed on the form, such as a site plan, traffic control plan, insurance certificate, surety bond, or fee.
4
Submit To Public Works
Use the Public Works – Engineering contact information printed on the form; it does not specify a submission method.

Frequently asked questions

Do I need a notary for the Right-of-Way Use Application?: No. The document has no notary block; the applicant signs and dates it and makes a declaration under penalty of perjury.
Who completes the right-of-way use application?: The applicant or authorized agent provides project details and applicant information. The form also requests owner information and a signature.
What materials may be required with the application?: The form lists a site plan, traffic control plan, traffic impact form if applicable, insurance certificate, surety bond if applicable, and fee.
How do I submit the right-of-way use application?: The form names Public Works – Engineering and provides its address and [email protected]. It does not specify a submission method.

Need something notarized?

This Right-of-Way (ROW) Use Application & Permit doesn’t need a notary — but if you have another Bainbridge Island form that does, a commissioned online notary can help.