WATER BILLING INFOCITY OF EDMONDS
121 5T" AVENUE NORTH • EDMONDS, WA 98020
(425)771-0241 • FAX (425)771-0265
FINANCE AND INFORMATION SERVICES DEPARTMENT
The City of Edmonds offers a leak adjustment on customer bills for qualifying water leaks.
To qualify for an adjustment, you must:
• Have NOT received a previous adjustment in the past three years.
MIKE ROSEN
MAYOR
• Have satisfactorily demonstrated a leak was undetected and caused by unusual circumstances
beyond control. Indoor plumbing, appliances, hose bib, pool, water features, theft or vandalism
DO NOT qualify.
• Have taken action to repair the leak within 30 days of when the leak was discovered or within 30
days of being notified.
• Provide proof of repair within 90 days of the repair accompanied by a copy of the finalized water
service line permit. If the repair is exempt from permit, a signature is required from the City of
Edmonds Planning & Development Department indicating a permit is not required. For more
information, please call 425-771-0220.
If you determine you qualify and wish to apply for a Leak Adjustment, please complete this form and
return it to our office as soon as possible with the necessary receipts. NO ACTION CAN BE TAKEN
TO PROCESS YOUR ADJUSTMENT UNTIL INFORMATION ON THE COMPLETED
APPLICATION FORM IS RECEIVED.
APPLICATION FOR LEAK ADJUSTMENT CREDIT
i
Name: 5����� (r—
Service'Ac
City: V
Date: 2- - L- 0 Z
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State: Zip Code:
Mailing Address:_ �e10--f a? - a �
City: _ State: Zip Code:
Daytime Phone:' (� O �1�- Account Number:
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Date you first noticed your leak: — D Z� Date the leak was repaired: L — — i—_-
Where was the leak located? (Please indicate below)_ �� J
Between the house and the water meter In the irrigation system
S�
Are you a tenant at this property? ONO C,YES - Landlord's Name 1 10fn V\
Landlord's mailing address:
City State -Zip Code' 1 � �O Daytime Phone:
Please describe how your leak was identified or provide any additional facts you think might be helpful
below: (or attach an extra page):
"' v"t- - 5W� 0, `fie *,Vk4 V44-
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By signing this request, I certify that I understand the terms and conditions of the City of Edmonds
Leak Adjustment Policy and acknowledge that I will not be eligible for an additional Leak
Adjustment in the next three-year period.
Customer Signature: Date: — 2
Note:
• If you have not received a bill by the date your leak was repaired, we will process your claim
after your next bill.
• If you have received a bill and your claim has not been processed, we suggest that you pay the
amount due by the due date to avoid delinquent charges and disconnection of service. The
adjustment will be applied to your next bill.
• This form does not relieve responsibility of payment.
CITY OF EDMONDS USE ONLY
Permit Exemption Approved By:
Date:
CITY OF EDMONDS • PO BOX 2008 EDMONDS, WA 98020-2008 •425-771-0241
Account Number
Billing Date
Due, Date
Amount Due
2-26050
02/21 /2025
03/18/2025
$772.30
a
1040 1 AV 0.545 1040 / 3-1-109
TE & CHONG
1576 9TH AVE N
EDMONDS WA 98020-2627
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P/ease detach and return top portion with remittance
Customer Name: •
Service Address:
Amount Enclosed
AUTO WITHDRAWAL
Your card will be
charged automatically
on the bill due date.
Account Number
Billing Date
Due Date
Amount Due
2-26050
02/21 /2025
03/18/2025
$772.30
Date I Billing Cycle
I Days I
Description
Amount
12/23/2024 Previous Balance
$259.86
01/17/2025 Payment - thank you
$259.86 CR
02/21/2025 Billing
$772.30
12/22 - 02/20 60
Water
$517.32
12/22 - 02/20 60
Water Utility Tax
$51.73
12/22 - 02/20 60
Sewer
$129.56
12/22 - 02/20 60
Sewer Utility Tax
$12.96
12/22 - 02/20 60
Storm Drain
$55.21
12/22 - 02/20 60
Storm Utility Tax
$5.52
1
Amount Due: $772.30
Meter # Prev Read 1 Prev Read 2 Prev Read Read Date Curr Read 1 Curr Re, .d 2 Curr Read 3 Totals Cons
1879 878 0 0 2/10/2025 963 0 0 85
Consumption During The Past Year PROPERTY OWNER RESPONSIBILITY: The property owner is legally responsible for all charges on
7 3 7 10 7 4 85 this bill. ALL COMBINED UTILITY BILLS REMA''N AGAINST THE PROPERTY EVEN IF THERE IS A
CHANGE IN OWNERSHIP.
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FEB APR JUN AUG OCT DEC FEB
PAYMENT TERMS: This bill is considered delinquent if not paid in full by the Due Date.
PAYMENT OPTIONS:
• Online: EdmondsUtilityPayments.com
• Phone: 425-771-0241, Option 1
• Mail: City of Edmonds, PO Box 2008, Edmonds, WA 98020 (Payable to the City of Edmonds)
• Drop Box: City Hall, 121 5th Avenue N, Edmonds, WA 98020
RETURNED ITEMS: If payment is returr..ed unpaid by your bank, repayment will be required in the
form of cash, money order, cashier's check, or debit/credit card along with a $30.00 returned item fee
If the payment was made after the Due Date to avoid turn off, service will be disconnected
immediately and additional charges will be applied to the account.
DELINQUENCY: Once the account bacomes delinquent, it will be subject to a $25.00 penalty.
Delinquent accounts may have the Water disconnected and/or lien filed against the property.
CITY OF EDMONDS • 121 5TH AVE N • EDMONDS, WA 98020.425-771-0241
Each Unit = 100cf = 748 gallons
This bill reflects a 9% increase in the water, 10.5% in the sewer and 8.5% in the storm drain utility rates per Ordinance No. 4330.
&FRitE, BUSTERS
Billing Address
Sean Te
1576 9th Avenue North
Edmonds, WA 98020 USA
Price Busters Plumbing
20907 Hwy 99 Suite C, Lynnwood, Washington
98036-7380
(206)348-8138
Description of Work
Task # Description
MISC 1. Waterline spot repair
Price Busters Plumbing is to provide all material and labor to
perform the following couple of work:
- perform excavation at 2 feet wide and up to 4 feet length by up
to 2' in depth in order to access potential leaking area of water
pipe
-replace up to 3 feet of 1 inch waterline, using pex a piping
-if existing waterline is galvanized piping, Price Busters will
provide estimate for full replacement
-Pressure test new repairs to ensure no leaks at repair area
-Backfill areas and compact soil
-Cleanup job site
$2030
Invoice 28359312
Invoice Date 2/11/2025
Completed Date
Customer PO
Payment Term Due Upon Receipt
Due Date 2/11/2025
Job Address
Sean Te
1576 9th Avenue North
Edmonds, WA 98020 USA
Quantity Your Price Your Total
1.00 $2,030.00 $2,030.00
Paid On Type Memo Amount
2/11/2025 Check $2,243.15
Sub -Total $2,030.00
Tax $213.15
Total Due $2,243.15
Payment $2,243.15
Balance Due $0.00
Thank you for choosing Price Busters Plumbing! If you have any questions please feel free to contact us at (206)348-8138
BY SIGNING THIS ESTIMATE AND/OR INVOICE YOU AGREE TO THE FULL TERMS AND CONDITIONS LISTED WITH THIS ESTIMATE/INVOICE
Price Busters Plumbing is Not responsible for existing plumbing, all jobs subject to change order with unforeseen obstacles, Price busters will not
take responsibility for problem drains that cause equipment to get stuck, or break, and will not be liable or responsible for the cost of retrieving.
No plumbing repair will be warrantied if the house water water pressure is exceeds 80 PSI. Price busters does not repair, fix, or install drywall, any
dry wall removed during plumbing service will be the homeowners responsibility unless specified in the invoice. If Price Busters Plumbing replaces
a water service with PEX or a home repipe we are not responsible for the electrical ground -wire. By signing invoice or making any payment towards
total due on contract you the customer fully agree to paying full amount stated in subtotal plus tax. Not responsible for fixtures becoming clogged
when re -pressurizing system. Any job not paid at time of completion will have a interest of 5% per week.