Do I need a notary for the Landscape Sprinkler Permit?

No. This document does not require a notary. It requests an attached drawing of the proposed system and includes no notarized or sworn attachment step.

What information and attachment does the application request?

It requests property or business and contractor contact details, the assembly type, and a drawing showing the proposed system’s connection to the water system and assembly locations.

When must the backflow assembly be tested?

The instructions require testing at installation, after repairs or relocation, and annually thereafter. A visual inspection by the City’s Cross-Connection Control Inspector must happen before testing.

Edmonds, WA · Snohomish County

No notary required

Landscape Sprinkler Permit for Backflow Prevention Assembly Installation

This permit application collects property, business, and contractor details for a landscape sprinkler backflow prevention assembly installation in Edmonds.

What this form is

This permit covers landscape sprinkler backflow prevention assemblies connected to the City of Edmonds water supply. It asks for property or business and contractor contact information, the assembly type, and an attached drawing showing the system connection and assembly locations. The instructions call for a visual inspection before testing and testing at installation, after repairs or relocation, and annually.

Who needs it

Property owners or businesses and their contractors use this application for a landscape sprinkler backflow prevention assembly installation.

How to submit it

The tester must forward all permits and backflow assembly test reports to Edmonds Water Division, attention Jeff Kobylk, at 7110–210th St SW, Edmonds, WA 98026, or fax them to 425-744-6057.

About notarization

This document does not require a notary; it requests an attached system drawing and provides no notarized or sworn attachment step.

How to submit this form

1
Download The Permit
Download the Landscape Sprinkler Permit for Backflow Prevention Assembly Installation.
2
Complete The Application
Provide the property or business and contractor details, then check the type of assembly being installed.
3
Attach The System Drawing
Attach a drawing of the proposed system showing its connection to the water system and backflow prevention assembly locations.
4
Arrange Inspection And Testing
Call 425-771-0235, extension 1644, at least 24 hours ahead to make an inspection appointment; the visual inspection must precede testing.
5
Forward Permits And Test Reports
The tester must forward permits and test reports to Edmonds Water Division at the listed address or fax number.

Frequently asked questions

Do I need a notary for the Landscape Sprinkler Permit?: No. This document does not require a notary. It requests an attached drawing of the proposed system and includes no notarized or sworn attachment step.
How do I submit the Landscape Sprinkler Permit?: The tester must forward all permits and backflow assembly test reports to Edmonds Water Division, attention Jeff Kobylk, at the listed address or fax number.
What information and attachment does the application request?: It requests property or business and contractor contact details, the assembly type, and a drawing showing the proposed system’s connection to the water system and assembly locations.
When must the backflow assembly be tested?: The instructions require testing at installation, after repairs or relocation, and annually thereafter. A visual inspection by the City’s Cross-Connection Control Inspector must happen before testing.

Need something notarized?

This Landscape Sprinkler Permit for Backflow Prevention Assembly Installation doesn’t need a notary — but if you have another Edmonds form that does, a commissioned online notary can help.