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MULTIPLE D�MESTIC WATER SERVICES REQUEST FORM <br /> NUMBER OF SERVICES REQUESTED <br /> Select Meter Siae List Meter/Service 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 Single and multiple metered services -Regulations and Charges: <br /> Only a�e me.ered serJ'sce conn�:tior shall nermally be irstalled ta a pr�mises under sRngle o;r.�r�ership. !f, ho�r�ever, <br /> a cansumer 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 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 connectian(s) shall be considered to be solelyfor the benefit and convenience of the applicant. The <br /> premises shall thereafter be ci�arged for water service through each ser�ice connection independently 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 computed separately for each metered service; provided that the premises shall remain liabfe for a lien far <br /> water charges as provided in Section 14.16.8�0. (Ord. 1237-86 §43, 1986} <br /> 1 hereby consent to the terms of EMC 94.16.430 listed above: <br /> 3-4-16 <br /> Applicant Signature Qate <br /> City of Everett Office Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature(Required) Date <br /> <' � <br /> 1''�-!' <br /> �I�_! <br /> �" <br />