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MULTIPLE DOMESTIC WATER SERVICES REQUEST FORM <br /> NUMBER OF SERVICES REQUESTED <br /> Select Meter Size List Meter/5ervice Quantity <br /> ❑ 3/4" Domestic Water Service X <br /> ❑ 1" Domestic Water Service X <br /> ❑2" Domestic Water Service X <br /> ----._._.._----- -- <br /> Ei'vi� ��.�ib.43u �ingie ano� mui�ipte me4ered seroices -Reguia�ions ano� Charges: <br /> Only one metered service connection shall normally be installed to a premises under single ownership. If, however, <br /> a consumer 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 connection(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 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 /> shafl be computed separately for each metered service; provided that the premises shall remain liable for a lien for <br /> water charges as provided in Section 14.16.850. (Ord. 1237-86 §43, 1986) <br /> l herebv consent to the ferms of EMC 14.16.430 listed above: <br /> � � - � <br /> Applicant ' nature te <br /> City of Everett Office Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature (Required) Date <br /> �.-�,�i� <br />