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Multiple Domestic Water Service Request Form <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 04/01/2015 <br /> Date <br /> 3114 92nd Place SE, Everett WA, 98208 ..-t0+- 2'5 28051700407100 <br /> PROJECT ADDRESS (Please attach site plan with proposed water services shown) TAX PARCEL NO. <br /> Harbour Homes llc. <br /> Property Owner <br /> 1441 N. 34th Street STE 200 <br /> Mail Address <br /> Seattle WA 98103 <br /> city State Zip <br /> jrobinson@iharbourhomes . com 425 . 330 . 9566 <br /> Email Address Phone Number <br /> Number of Services Requested: <br /> >< X- 3 <br /> /4 " X- 111, x-2 ' <br /> EMC 14.16.430 Single and multiple metered services—Regulations and charges. <br /> .............................................-........................................................................................................................................................................................................................................................................................................... <br /> ........ <br /> Only one metered service connection shall normally be installed to a premises under single ownership. If, however, a consumer <br /> shall request that more than one metered service be connected to a premises under single ownership and the superintendent <br /> shall agree that the particular individual circumstances warrant such additional connection(s), the party requesting same shall <br /> make application and payment in the regular manner and such additional connection(s) shall be considered to be solely for the <br /> benefit and convenience of the applicant. The premises shall thereafter be charged for water service through each service <br /> connection independently as though service were being provided to two or more premises, and the minimum charge and the <br /> charge for water consumed shall be computed separately for each metered service; provided that the premises shall remain <br /> liable for a lien for water charges as provided in Section 14.16.850. (Ord. 1237-86§43, 1986) <br /> 1 hereby consent to the terms of EMC 14.16.430 listed above: <br /> 04/01/2015 <br /> Applicant Signature Date <br /> Office Use Only <br /> Approved by: <br /> Authorized Signatur Date <br /> REVISED 11/19/2014 <br />