South Bend, WA · Pacific County

No notary required

Water Availability Notification

This form documents the water supply for a building or project and is completed by the applicant, water purveyor, or other signer, as applicable.

What this form is

The notification documents how water will be provided for a building or project. Complete the applicable section: Part A concerns an existing water right, Part B is for the desired water purveyor, and Part C covers a source that does not require a water right permit. The form asks for names, parcel and water-system information, signatures, addresses, and dates, and calls for supporting documents or test results in applicable cases.

Who needs it

A person seeking building or project water availability documentation completes the applicable section, with the water purveyor or other identified signer completing their section when needed.

How to submit it

Submit it to the City Supervisor/Building Official, P.O. Drawer 9, South Bend, WA 98586; the form also lists [email protected].

About notarization

This document does not require a notary; the applicable signer signs and dates it, and Part A or Part C may require supporting documents or test results, but no notarization is stated.

How to submit this form

  1. 1

    Download The Form

    Download the Water Availability Notification PDF.

  2. 2

    Complete The Applicable Section

    Fill in Part A, B, or C as applicable, including the requested water, project, and signer details.

  3. 3

    Gather Supporting Documents

    Attach a copy of the water right document for Part A. Part C calls for test results in the listed categories.

  4. 4

    Submit To The City

    Submit the completed form to the City Supervisor/Building Official at P.O. Drawer 9, South Bend, WA 98586.

Frequently asked questions

What is the Water Availability Notification for?
It documents the water supply for a building or project. The form provides sections for an existing water right, a water purveyor, or a source that does not require a water right permit.
Who completes the form?
Complete the section that applies. Part B is for the desired water purveyor; Parts A and C include signature lines for the applicable signer.
Do I need a notary for the Water Availability Notification?
No. The form does not require a notary. The applicable signer signs and dates it; Part A or Part C may require supporting documents or test results, but the form does not say they must be notarized.
How do I submit the Water Availability Notification?
Submit it to the City Supervisor/Building Official, P.O. Drawer 9, South Bend, WA 98586. The form also lists [email protected].

Need something notarized?

This Water Availability Notification doesn’t need a notary — but if you have another South Bend form that does, a commissioned online notary can help.