Regulations & Forms
Submitting Test Reports to the City of Bainbridge Island
The City of Bainbridge Island accepts most versions of backflow assembly test reports provided they are completed in accordance with our guidelines and contain all of the information required on the Backflow Assembly Test Report Form. Certified testers can also use our Backflow Assembly Test Report Form.
Forms
- COBI Backflow Assembly Test Report Form (PDF)
- Partial List of State Certified Backflow Assembly Testers (PDF)
- Hold Harmless Agreement - Annual Backflow Inspection/Testing (PDF)
Bulk Water Withdraw
The City of Bainbridge Island provides a bulk water dispensing station for non-potable construction purposes. The City does not allow water to be withdrawn from fire hydrants unless approved in writing by the Public Works - Operations and Maintenance Manager. Please call with at least 24-hour notice (206.842.1212) to learn about bulk water billing rates and to setup an account.
Links & References
- City of Bainbridge Island Municipal Code 13.20
- Washington State Administrative Code WAC 246-290-490
- State Building Code Adoption and Amendment of the Uniform Plumbing Code
- Washington State Department of Health - Cross Connection Control
- USC Foundation for Hydraulic Research and Cross Connection Control
- American Water Works Association
- Washington Certification Services
More Information
For answers to specific cross-connection control questions, please contact the cross connection control specialists at Operations and Maintenance by email or phone (206.842.1212).