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fVIULTIPLE DOMESTIC WATER SERVICES REQUEST FORM <br /> � �..� <br /> NUMBER OF SERVICES REQUESTED <br /> Select Meter Size List Meter/Service Quantity <br /> O 3la" DomesGc Water Service x <br /> ❑ 1" Domestic Water Service X <br /> ❑ 2" Domestic Water Service x <br /> EMC 14.16.430 Single and multiple metered services -Regulations and Charges: <br /> Only one metered service connec,�on shall normally be installed to a premises under single ownership If, however, <br /> a cons�mer 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 ind�vidual circumstanr_es warrant such additional <br /> wnnection(s), the party requesting same shall make application and paymer' in the regular manner and such <br /> addilional connechon(s) shall be co^sidered to be solely for the beneft 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 bemg provided to two or more premise;, and the mmimum charge and the charge for water consumed <br /> shall be computed separately tor each metered ser��,e; provided that the premises shall remain I�able for a !ien for <br /> water charges as provided in Section 14 16 850. (Ord 1237-86 § 43, 1986) <br /> I herebv consent ro the terms ol EMC ;4.16.4301isted above: <br /> Applicant Signature Date <br /> Gty of Everett OJ/ice Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature (Required) oate <br />