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acv)z.-02_c_o <br /> MULTIPLE DOMESTIC WATER SERVICES REQUEST FORM <br /> �` �`�z, �� _� � fix. .3aa, �. E,._.�., c, a .�a..,,y ��`���rsa���x°��'°3.���`� `��- �. s � <br /> a * �u � � `� tdrAti d Etna' lift ti`t3�'1 IE>lrt= ,3. . ,,. . ..F .E z ... <br /> > an..,..�\..'8�. ,.�.vim_ � ,.,e.r r.eFv....-..... S ,a.S_.. <br /> Select Meter Size List Meter/Service Quantity <br /> c ater <br /> VITIonntasetlervice x <br /> X1"Domestic Water Service X <br /> El 2"Domestic Water Service x <br /> ..r.h,.,..-... .�e....�.a.,. 0, r .v,._a.a,,....0.. ...rs,...mc.. .. ,.>.,..Ozu� caa,>Y xOWWW .v..,� V <br /> Only one metered service connection shall normally be installed to a premises under single ownership. If, however, <br /> a consumer shall request that more than one metered service be connected to a premises under single ownership <br /> and the superintendent shall agree that the particular individual circumstances warrant such additional <br /> connection(s),the party requesting same shall make application and payment in the regular manner and such <br /> additional connection(s)shall be considered to be solely for the benefit and convenience of the applicant.The <br /> premises shall thereafter be charged for water service through each service connection independently as though <br /> service were being provided to two or more premises, and the minimum charge and the charge for water consumed <br /> shall be computed separately for each metered service; provided that the premises shall remain liable for a lien for <br /> water charges as provided in Section 14.16.850. (Ord. 1237-86§43, 1986) <br /> 1 hereby consent to the terms of EMC 14.16.430 listed above: <br /> )11,4j 'WO? <br /> Applicant Signature " Date <br /> City of Everett Office Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature(Required) Date <br />