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MULTIPLE DQMEST[C WATER SERVICES REQUEST FORM <br /> NUMBER OF SERVlCES REQUESTED <br /> Select Meter Size List Meter/Service Quantity <br /> ❑ 314"Damestic Water Service X <br /> �] i" 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 /> On;y one me:erec! service conne.^tior shall nermally be irstaldezi to a pramises Gnder�ingle o;r�nership. !f, ho�r�ever, <br /> a cansumer shalf request that more than one metered service be connected to a premises under singie ownership <br /> and the superintendent sha{I agres thai 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 canneciian{s) shall be considered to be solelyfor the benefit and convenience of the applicant. The <br /> premises shal(thereafter be charged for water service thraugh each service connection independently as though <br /> service were being provided to two or more premises, and the minimum charge and the charge far water consumed <br /> shall be computed separately for each metered service; provided 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 /> l herebV cansent to the terms of EMG 14.16.4301isfed abave: <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 />