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.
Tuesday
March 9, 2010

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Forms

2010 Residential Water Rates (35 kb • 02/24/2010)PDF Format
 Rates effective with the March 1, 2010 billing.

2010 Winter / Spring Newsletter (488 kb • 02/19/2010)PDF Format
 

Backflow Assembly Testers List (169 kb • 07/04/2006)PDF Format
 This is a list of certified testers provided for your convenience not as a recommendation by Water District #111. All testers must be certified by the Washington State Department of Health.

Backflow Prevention Assembly Test Report (119 kb • 07/04/2006)PDF Format
 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.

Certificate of Water Availability Application (239 kb • 07/04/2006)PDF Format
 Please include a site plan with your submittal.

Community Assistance Programs (9 kb • 10/27/2009)PDF Format
 List of Agency who offer assistance to area citizens.

Cross Connection Questionaire (75 kb • 02/01/2010)PDF Format
 Questionaire to assist the District in identifying potential cross connections.

Duplicate Billing Authorization (101 kb • 07/04/2006)PDF Format
 Authorization for owners who would like a duplicate billing be sent to their renters.

Duplicate Billing Cancellation (101 kb • 07/04/2006)PDF Format
 This form cancels the previous authorization for duplicate billing by a land owner.

Employment Ap Process (198 kb • 07/04/2006)PDF Format
 Please feel free to submit a resume outlining your qualifications and experience, and be sure to include the following, at a minimum: (See attached)

Leak Credit Request (74 kb • 07/04/2006)PDF Format
 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 regarding qualification and amount of adjustment.

Newsletter Winter 2008/2009 (214 kb • 12/31/2008)PDF Format
 

Request for Public Records (166 kb • 07/04/2006)PDF Format
 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.

Small Works Application (44 kb • 07/04/2006)PDF Format
 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.

Washer Rebate Form 2008 (61 kb • 04/08/2008)PDF Format
 


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