ENG 70-2012 Utility Bill Adjustment Request, 35599 Zanatta ...
LEAK ADJUSTMENT REQUEST - WordPress.com
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OLYMPIC VIEW WATER & SEWER DISTRICT 8128 228 TH STREET SW EDMONDS WA 98026-8449 (425) 774-7769 LEAK ADJUSTMENT REQUEST Account Number: _______________________________________________________ Customer Name: _______________________________________________________ Address: ______________________________________________________________ Date leak discovered: ___________________________________________________ Estimated length of time of leak: ___________________________________________ Bill(s) affected by leak: ___________________________________________________ Date of repair: _________________________________________________________ Location of leak: ________________________________________________________ _____________________________________________________________________ I am requesting an adjustment on my billing for the extra expense incurred due to a water leak. The above information is given in support to the request. An adjustment will be made in accordance with Olympic View Water and Sewer District Code 7.24.080. ENCLOSE COPIES OF RECEIPTS FOR REPAIRS COMPLETED. _______________________________________ __________________________ Customer Signature Date
Transcript of LEAK ADJUSTMENT REQUEST - WordPress.com
OLYMPIC VIEW WATER & SEWER DISTRICT 8128 228
TH STREET SW
EDMONDS WA 98026-8449
(425) 774-7769
LEAK ADJUSTMENT REQUEST
Account Number: _______________________________________________________
Customer Name: _______________________________________________________
Address: ______________________________________________________________
Date leak discovered: ___________________________________________________
Estimated length of time of leak: ___________________________________________
Bill(s) affected by leak: ___________________________________________________
Date of repair: _________________________________________________________
Location of leak: ________________________________________________________
_____________________________________________________________________
I am requesting an adjustment on my billing for the extra expense incurred due to a water leak. The above information is given in support to the request. An adjustment will be made in accordance with Olympic View Water and Sewer District Code
7.24.080. ENCLOSE COPIES OF RECEIPTS FOR REPAIRS COMPLETED.
_______________________________________ __________________________ Customer Signature Date
