District Office
27224 144th Ave SE
Kent, WA 98042
253-631-3770  Office
253-859-6870  Emergency
253-631-8072  Fax
customerservice@wd111.com
Water District #111, King County
Mission Statement

Dedicated to provide the best quality water to the Lake Meridian area at the lowest possible price.

Monday
February 6, 2012

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Forms

General Interest

PDF Format
2009 Consumer Confidence Report (146 kb • March 23, 2010)
 
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2010 Summer Newsletter (417 kb • May 17, 2010)
 
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2010 Winter / Spring Newsletter (488 kb • February 19, 2010)
 
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2011 - Rate Exhibits A & B. pdf (35 kb • February 24, 2010)
 

Rates effective with the April  1, 2011 billing.

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Auto Pay Form (53 kb • March 23, 2010)
 Complete and return this form to pay your water bill automatically from your checking account.
PDF Format
Backflow Prevention Assembly Test Report (119 kb • July 4, 2006)
 Backflow assembly devices are required to be tested annually. The attached form is a District approved test report however other test reports will be accepted. Please contact the office if you have questions, 253-631-3770.
PDF Format
Backflow Testers (221 kb • June 30, 2011)
 

A list of testers who have provided their certification to the District.

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Certificate of Water Availability Application (239 kb • July 4, 2006)
 Please include a site plan with your submittal.
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Community Assistance Programs (9 kb • October 27, 2009)
 List of agencies that offer assistance to area citizens.
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Cross Connection Questionaire (75 kb • February 1, 2010)
 Questionaire to assist the District in identifying potential cross connections.
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Duplicate Billing Authorization (101 kb • July 4, 2006)
 Authorization for owners who would like a duplicate billing sent to their renters.
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Duplicate Billing Cancellation (101 kb • July 4, 2006)
 This form cancels authorization for duplicate billing by a land owner.
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Employment Ap Process (198 kb • July 4, 2006)
 Please feel free to submit a resume outlining your qualifications and experience, and be sure to include the following, at a minimum: (See attached)
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Employment Application (988 kb • June 18, 2010)
 

A completed Employment Application should be included with your resume.

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Leak Credit Request (74 kb • July 4, 2006)
 This form must be completed following the leak repair and returned to the District for a possible leak credit calculation. The request is then submitted for approval, depending upon the leak and adjustment amount. Customer will be notified as soon as possible regarding the status of the request, qualification and amount of adjustment.
PDF Format
Request for Public Records (166 kb • July 4, 2006)
 Public records are available for inspection and copying during the office hours of 8:00 AM to 4:30 PM, excluding holidays. Copies are 15 cents per page. Please complete request form to obtain record copies.
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Small Works Application (44 kb • July 4, 2006)
 For all contractors wishing to be placed on the District's Small Works roster, please fill out this form and submit to the address on the form.
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Washer Rebate Form 2010 (72 kb • March 23, 2010)
 
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Washers Qualifying for Rebate Program (774 kb • April 14, 2010)
 List from Energy Star website of qualifying washers as of March 2010. See the Energy Star website for the most current list.


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