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M�JLTIPLE DOMESTIC WATER SERVICES REQUESI' FORM <br />CES RE� <br />t Mctcr Size List MeterlScrvicc �uantity <br />❑ 3I4" Domestic Waler Service <br />❑ 1" Domestic Water Service <br />❑ 2" Domeshc Water Service <br />14.16.430 Sinqle and multiple metered services -Regulations and <br />Only one metered service connection shall normally be installed to a premises under single ownership If, however, <br />a consumer shail request that more than one metered service be connected to a prem�ses under smgle ownersh�p <br />and the superintendent shall agree that the particular mdiwdual circumstances warrant such add�honal <br />connection(s), the party requesting same shall make apphcaLon and payment in the regular manner and such <br />additional connection(s) shall be considered to be solely for the berefit and convenience of the appHcant The <br />premises shatl thereafter be charged for water service ihrough each service connection independendy as though <br />service were being prov�ded to hvo or more premises, and the minimum charge and ihe charge for water consume <br />shall be computed separately for zach metered service, provided that t:�e premises shall rema n liable for a hen for <br />water charges as provided m Secl�_ n 14 16 850 (Ord 1237-86 § 43, �986) <br />1 herebv consen! ro the terms o/ EMC 74.16.430 listed abovc: <br />Applicant Signaturc <br />Approved By: <br />Datc <br />C'verett 07/ic� Use On <br />Utilitics Deoartment Authorized Si�nature (Required) Date <br />