South Bend, WA · Pacific County

No notary required

Certificate of Sewer Availability / Side Sewer Permit

Property owners, applicants, or contractors use this form to request a side sewer permit and document sewer availability for a project in South Bend.

What this form is

Use this form to request a side sewer permit and have South Bend’s public sewer utility certify whether it can supply sewer service to a project. The form asks for property and owner details, the proposed use, project information, and the sewer contractor or qualified city employee. It also requires a separate sheet showing building dimensions, building location, and proposed side sewer alignment.

Who needs it

Property owners, applicants, or contractors seeking a side sewer permit or sewer availability certification for a South Bend project need this form.

How to submit it

The form says side sewer permits are issued by the city supervisor and lists a mailing address and email. It states that required fees must be paid before a permit is issued.

About notarization

No notary is required; the form provides a city supervisor/building official signature and date line, and requests a separate drawing sheet, not a sworn attachment.

How to submit this form

  1. 1

    Download the Form

    Download the Certificate of Sewer Availability / Side Sewer Permit PDF.

  2. 2

    Complete the Applicant Section

    Provide the requested property, owner, project, and sewer contractor or qualified city employee information.

  3. 3

    Prepare the Drawing Sheet

    Attach a sheet showing the building’s outside dimensions and location on the property, and the proposed side sewer alignment.

  4. 4

    Submit to the City

    Submit the form to the city supervisor; the form lists mailing and email contact information. Pay required fees before the permit is issued.

Frequently asked questions

What does the Certificate of Sewer Availability / Side Sewer Permit do?
It requests a side sewer permit and asks South Bend’s public sewer utility to certify whether it can supply sewer service to the referenced project.
What information and attachments does the form request?
It asks for property, owner, project, and contractor information. Include a separate sheet with the building’s outside dimensions and location, plus the proposed side sewer alignment.
Do I need a notary for this form?
No. The form has a city supervisor/building official signature and date line and requests a separate drawing sheet, not a sworn or notarized attachment.
How do I submit the Side Sewer Permit form?
The form says permits are issued by the city supervisor and lists a mailing address and email. It also states that required fees must be paid before a permit is issued.

Need something notarized?

This Certificate of Sewer Availability / Side Sewer Permit doesn’t need a notary — but if you have another South Bend form that does, a commissioned online notary can help.