Please use this form when requesting a final occupancy inspection for new construction, remodel, or tenant improvement * indicates required information
(If there is no sewer connection, enter "n/a")
(If there is no water connection, enter "n/a")
A backflow test report must be submitted for devices listed below with backflow prevention assemblies. **Test reports must be emailed to firstname.lastname@example.org before an inspection and sign-off will be completed.**
IMPORTANT: Samammish Plateau Water will only complete building permit sign-offs for sites that comply with Governor Jay Inslee’s "Phase 2 Construction COVID-19 Job Site Requirements". Please answer the following:
By electronically signing and submitting this request, I verify the following: (1) that all building permit sign-off requirements have been met, (2) the site complies with Governor Jay Inslee’s "Phase 2 Construction COVID-19 Job Site Requirements", and (3) all backflow prevention devices have been tested and test results have been emailed to email@example.com.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
* indicates a required field