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MULTIPLE DOMESTIC WATER SERVICES REQUEST FORM <br />ielect Meter Size <br />❑ 3/4" Domestic Water Service <br />❑ 1" Domestic Water Service <br />❑ 2" Domestic Water Service <br />NUMBER OF SERVICES REQUESTED <br />List Meter/Service Quantity <br />X <br />X <br />X <br />EMC 14.16.430 Single and multiple metered services -Regulations and Charges: <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 />I hereby consent to the terms of EMC 14.96.430 listed above: <br />Applicant Signature <br />Approved By: <br />Utilities Department Authorized S <br />re <br />of Everett Office Use <br />ired <br />Date <br />Date <br />