Poulsbo, WA · Kitsap County

No notary required

Irrigation Permit Application

Property owners or authorized applicants use this form to apply for an irrigation permit and provide project, property, and responsible-party information.

What this form is

Use this application to request a permit for new or replacement irrigation work, or other irrigation work, in Poulsbo. It asks for the site address, project description and estimated value, irrigation and meter details, and information about responsible parties. Applicants must also provide required plans and backflow assembly test reports, and complete financing information when the project valuation exceeds $5,000.

Who needs it

A property owner or authorized applicant proposing irrigation work in Poulsbo should complete this application and provide the listed submittal materials.

How to submit it

The form lists the City of Poulsbo Building Department at 200 NE Moe Street, Poulsbo, WA 98370-7347, and [email protected]. Confirm current submission instructions with the department.

About notarization

This application does not require a notary; the applicant types a name as the electronic signature and dates it, and the listed plans and backflow reports have no notarization instruction.

How to submit this form

  1. 1

    Download The Application

    Download the Irrigation Permit Application PDF.

  2. 2

    Complete The Application

    Enter the property, project, and responsible-party information, then sign and date the certification.

  3. 3

    Gather Required Attachments

    Include two sets of required plans and backflow assembly test reports from an approved backflow tester.

  4. 4

    Submit To The City

    Submit the completed application and materials to the City of Poulsbo Building Department; confirm current instructions with the department.

Frequently asked questions

What information does the Irrigation Permit Application request?
It requests the project address, assessor ID, irrigation and meter details, work description, estimated construction value, and information about the applicant, property owner, contractor, or other responsible parties.
What must I include with the irrigation permit application?
The form lists two sets of required plans and backflow assembly test reports from an approved backflow tester. It also requests financing information when project valuation exceeds $5,000, which may be deferred until issuance.
Do I need a notary for the Irrigation Permit Application?
No. The form does not require notarization; the applicant types a name as the electronic signature and dates it. The listed plans and backflow reports have no notarization instruction.
How do I submit the Irrigation Permit Application?
The form lists the Poulsbo Building Department at 200 NE Moe Street, Poulsbo, WA 98370-7347, and [email protected]. Contact the department to confirm current submission instructions.

Need something notarized?

This Irrigation Permit Application doesn’t need a notary — but if you have another Poulsbo form that does, a commissioned online notary can help.