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City of Bonney Lake - Public Works

czaplinskih@cobl.us

19306 Bonney Lake BLVD Bonney Lake, WA 98391

253-447-3101

HYDRANT \ WATER METER RENTAL FORM

Job Address/Location:

Company Address

MONTHLY AVAILABILITY AND USAGE FEES WILL BE BILLED - NOT CHARGED TO
DEPOSIT. DEPOSIT SUBMITTED IS INSURANCE FOR HYDRANT RETURN ONLY.
 
As an authorized agent of the firm listed below, I agree to pay any and all costs
associated with the use of this meter, administrative billing and usage costs.

Full Name

Applicant Signature

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METER TO BE USED IN THE BONNEY LAKE WATER SERVICE AREA

Receipt Bar Code