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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

UTILITY AVAILABILITY APPLICATION

Select Form Type:

Property Owner

Property Address

Customer Type:

Short Plat or Development?

Building Type:

New Sewer Connection(s) Required?

Existing Utility Billing (UB) Account?

New Water Connection(s) Required?

Existing water well on site?

Do improvements require or include fire sprinklers?

Fire Sprinkler System Type:

Do improvements include irrigation?

Storm water detention-infiltration system on site?

Submit site plan/drawing with approximate elevations showing existing stormwater system.

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Applicant Full Name

Applicant Mailing Address

Other Documents & Plan Drawings:

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Short Plat: Provide a Preliminary Site Plan

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Commercial: Provide a Preliminary Site Plan

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Multi-Family: Provide a Preliminary Site Plan

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Industrial: Provide a Preliminary Site Plan

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I, the undersigned, request the City of Bonney Lake to certify willingness and ability to provide water  services to the above-described property. I have read and understand the information provided on this Certificate, and acknowledge that the proposed project may require improvements to the utility system, which would incur my financial obligation and are identified in the Developer’s Extension Agreement.  Prior to receiving this CWA I understand that if I am extending the city’s utility system that a Developer Extension Agreement between myself and the City, which specifies the terms of utility service, operational responsibility, and financial obligation will be required. I further understand and acknowledge that provision of utility services may be contingent upon fulfillment of applicable conditions, such as building system improvements, as well as payment of various costs and fees.

I further acknowledge that if the project for which I seek this certification is a preliminary short plat or subdivision, I will be required to construct facilities necessary for water and or sewer connections in compliance with the Bonney Lake Municipal Code and adopted standards. If the project for which I seek this certification is a final short plat, subdivision, building permit, or septic design, I must build out the system and connect it to the existing Bonney Lake utility system located at the site indicated on this certificate.   

I understand that this certification is valid for a one (1) year period starting on the date of the of the City Engineer’s signature. I must execute developer extensions agreements within this one year period or else file a new application for utility extension with the City.         

I acknowledge that this certification is non-transferable. New property owners will need to request a new water/sewer certification.

I acknowledge that developer extensions may be required based on City Code and standards.

I, the undersigned, request the City of Bonney Lake to provide data for instantaneous fire flow at the existing fire hydrant closest to the address provide above.

I understand that data provided by the City reflects the conditions of the water system at the time the data was collected and may not be considered accurate for all conditions the City’s water system encounters.

I understand that this data is valid for a one (1) year period starting on the date of the approval signature.

I further understand and acknowledge that this request is to provide instantaneous fire flow data and that an Instantaneous Fire Flow analysis does not consitute as a Certificate of Water Availability. 

I, the undersigned, request the City of Bonney Lake to provide data for a sewer model that calculates data derived under standard design conditions.

I understand that data provided by the City reflects the conditions of the sewer system at the time the data was collected and may not be considered accurate for all conditions the City’s water system encounters.

I further understand and acknowledge that this request is to provide sewer modeling data and that a Sewer Modeling analysis does not consitute as a Certificate of Sewer Availability. 

I, the undersigned, request the City of Bonney Lake to provide data for a fire flow model that calculates data derived under standard design conditions.

I understand that data provided by the City reflects the conditions of the water system at the time the data was collected and may not be considered accurate for all conditions the City’s water system encounters.

I further understand and acknowledge that this request is to provide fire flow modeling data and that a Water Modeling analysis does not consitute as a Certificate of Water Availability. 

I, the undersigned, request the City of Bonney Lake to certify willingness and ability to provide sewer services to the above-described property.  I have read and understand the information provided on this Certificate, and acknowledge that the proposed project may require improvements to the utility system, which would incur my financial obligation and are identified in the Developer’s Extension Agreement.  Prior to receiving this CSA I understand that if I am extending the city’s utility system that a Developer Extension Agreement between myself and the City, which specifies the terms of utility service, operational responsibility, and financial obligation will be required.  I further understand and acknowledge that provision of utility services may be contingent upon fulfillment of applicable conditions, such as building system improvements, as well as payment of various costs and fees.

I further acknowledge that if the project for which I seek this certification is a preliminary short plat or subdivision, I will be required to construct facilities necessary for sewer and/or connections in compliance with the Bonney Lake Municipal Code and adopted standards.  If the project for which I seek this certification is a final short plat, subdivision, building permit, or septic design, I must build out the system and connect it to the existing Bonney Lake utility system located at the site indicated on this certificate.   

I understand that this certification is valid for a one (1) year period starting on the date of the of the City Engineer’s signature.  I must execute developer extensions agreements within this one year period or else file a new application for utility extension with the City.          

I acknowledge that this certification is non-transferable. New property owners will need to request a new water/sewer certification.

 

I acknowledge that developer extensions may be required based on City Code and standards.

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