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MULTIPLE D�MESTtC WATER SERVICES REQUEST FORN! <br /> NUMBER OF SERVlCES REQUESTED <br /> Select Meter Size List Meter/Service Quantity <br /> ❑ 314"Dpmestic Water Setvice X <br /> �7 1" Domestic Water Service X 1 <br /> ❑ 2" Domestic Water Service X <br /> EMC 14.16.430 Single and multiple metered services -Regulations and Charges: <br /> Jn;y ane me,ered s��rice cannectior shall normally be irstaller! to a pramises c:nder single o��nersh;p. !f, rov�ever, <br /> a cQnsumer shalf 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 connec#ian{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 connectian independently as though <br /> service were being provided ta two or more premises, and the minimum charge and the charge iar water consumed <br /> shall be computed separately for each metered service; provided that the premises shall remain liab(e for a lien far <br /> water charges as provided in Section 14.16.850. (Ord. 1237-86 §43, 1986) <br /> I herebv consent to fhe terms of FMC 94.96.4301isfed above: <br /> 3-4-16 <br /> Applicant Signature Date <br /> City of Everett Offrce Use On1y <br /> Approved By: <br /> Utilities Department Authorized Signature{Reguired) Date <br /> ��� . .. , <br /> �������'` <br /> .�,-,�,., r <br />