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City of Bonney Lake-Permit Center

permit@cobl.us

21719 96th St E Second Floor Buckley,WA 98321

253-447-4356

WATER PERMIT APPLICATION

SITE AND PROJECT DATA

Check which is applicable:

Check which is applicable:

Job Site Address:

Sewage disposal:

Property Owner

Mailing Address

The applicant name and address shall be used for future utility bills.

Is the Applicant someone other than the property owner?

Applicant Full Name

Applicant Mailing Address

Is there a separate contact for this project?

Project Contact Person:

Contractor Address

METER DATA

Fire Sprinkler Required

Check which is applicable:

Lender/Issuer Address

Sign Here

Choose how to sign

Signer: