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MULTIPLE DC�MESTIC WATER SERVICES REQUEST FORM <br /> NUMBER OF SERVlCES REQUESTED <br /> Select Meter Size List MeterlService Quantity <br /> ❑ 314" Domestic Water Service X <br /> � 1" Domestic Water Service X 1 <br /> ❑ 2"Domestic Water Service X <br /> EMC 14.16.430 Singie and multiple metered services -Regulatians and Charges: <br /> Jnly a�e me;ered ser,rice connectior� shall ncrmally be irstalled ta a �ramise� under single o�:ner�hip. 'f, haf�ever, <br /> a cansumer shall request that more than one metered service be connected to a premises under single ownership <br /> and the superintendent shafl agree that the particular individual circumstances warrant such additional <br /> connection(s}, the party requesting same shall make application and payment in ihe regular manner and such <br /> additional connection{s)shall be considered to be solelyfor the benefit and convenience of the applicant. The <br /> premises shall thereafter be charged for water service through each service connection independent(y 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 camputed separately for each metered service; pro�ided that the premises shall remain liabfe for a lien far <br /> water charges as provided in Section 14.16.850. (Ord. 1237-86 §43, 1986) <br /> I herebv consent fo fhe ferms of EMC 14.i6.430 listed above: <br /> 3-4-16 <br /> Applicant Signature Date <br /> City of Everett Office Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature(Required} Date <br /> \ <br /> � ; t! <br /> ���,�,�` <br /> �,.....,.,..�<. <br />