K-2 - One-time Water and Sewer Adjustment Attachment - 541 East Goldfinch Drive

Application for One-Time Water and Sewer Adjustment Name: Daniel Wadson Date: 4/3/21 Service Address: 541 E Goldfinch Dr. Tiffin, IA 52340 Daytime Phone Number: 478-733-2943 Resident Account Number: 01-01007140-02 Reason for application: I have not been living at my home during COVID. I've been in Georgia. Apparently the toilets have been running causing an astronomical bill. I was never notified of this issue until now & the issue has been fixed by a plumber. CITY OF TIFFIN ORDINANCE NO. 2017-398 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, CHAPTER 92, BY ADDING SECTION 92.10 – WATER ADJUSTMENT 92.10 WATER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the water bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s water bill under this ordinance then the one-time sewer adjustment must also be used at the same time. CITY OF TIFFIN ORDINANCE NO. 2017-399 AN ORDINANCE AMENDING THE MUNICIPAL CODE OF TIFFIN, IOWA, SECTION 99.10(1) OF CHAPTER 99, PAYMENT OF BILLS – SEWER ADJUSTMENT 99.10(1) SEWER ADJUSTMENT. Upon application to and at the discretion of the Tiffin City Council, each customer or address within the Corporate Limits of the City of Tiffin may be allowed a one-time adjustment on the sewer bill at that address or meter with an adjustment cap of $250.00. A twelve-month average billing amount will be established from the twelve immediate previous billing cycles. The customer will pay no less than the average of those previous twelve months. Tax will be paid on the original full billing amount, regardless of the amount of adjustment. If an adjustment is made to the customer’s sewer bill under this ordinance then the one-time water adjustment must also be used at the same time. Signature: [signature] Date: 4/3/21 ***You will be required to pay the average amount of your previous twelve utility bills at the time of application and pending City Council approval, any further adjustments will be made on the following utility bill.