Full Text
REQUEST FOR WATER LEAK ADJUSTMENT Mail, fax or deliver completed form to: City of Marysville, 1049 State Ave, Marysville WA 98270 Fax: [PHONE REDACTED] Phone: [PHONE REDACTED] Customer Name: Date: Service Address: Account Phone: I hereby notify the City of Marysville that I have sustained a water leak at the above address and that it has been repaired. I am requesting an adjustment to my utility bill per the MMC 14.07.06 (6A). Date Leak Repaired: Leak Repaired By: Location of Leak: Detailed account of steps taken to fix leak: Customer Signature: