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Lakehaven Leak Adjustment Request Form

  1. 31627 1st Avenue S
    P.O. Box 4249
    Federal Way, WA 98063-4249
    Federal Way: 253-941-1516
    Tacoma: 253-927-2922
    Fax: 253-839-9738
    www.lakehaven.org

  2. Please provide your email address if you would like us to respond via email.

    (If you would like a copy of this form emailed to you, you must enter your email again in the submission section of this form.)

  3. Describe where the water leak was located and what steps you took to resolve the problem? e.g. "Toilet in master bath was leaking, replaced toilet."

  4. If you are signed up for auto-pay please call Customer Service 253-941-1516 to avoid excess charges.

    Adjustment Calculations: 50% of the difference between the actual CCF (100 cubic feet) of water billed and the “averaged” CCF of water consumed during the same billing period of the previous year – not including the base rate.

    Adjustment Period:Maximum 3 billing cycles. One leak adjustment allowed every 2 years.

  5. Return your request along with any receipts that support your entitlement to this leak adjustment via one of the following options:
    Mail
    Email
    Fax
    (This information can be found at the top of the form)

  6. Signature*

    By checking the box below you agree that the information on this form is correct.

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  8. Leonard D. Englund | Peter Sanchez | Timothy A. McClain | Donald L.P. Miller | Ronald E. Nowicki

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