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MULTIPLE DOMESTIC WATER SERVICES REQUEST FORM <br /> �_ ..�,..�.� �.�, <br /> ��:#tu�;�_g; ��q�_x�.v= ,�. > NUMBER�;OF,SERVIGES,�REt,lUESTEDn .�. ..-�.��;. .� : �� � , <br /> �.,so. <br /> Select Meter Size List Meter/Service Quantity <br /> • ❑3/4"Domestic Water Service X � <br /> ❑ 1"Domestic Water Service X - <br /> ❑2"Domestic Water Service X <br /> . _. � <br /> Efifi���.16 4�ti �mgle ancl mult�ple mefered serv�ces,-Regulations,;anci �harges: _ � = � : � 'w ' <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 warranfi such additional <br /> connection(s), the pariy requesting same shall make application and payment in the regular manner and such <br /> additional connection(s)shall be considered to be soleiy 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 /> shaff be compu#ed separatelyfor 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 /> /herebv consent to the terms of EMC 94.16.430 listed above: <br /> � <br /> �� �� � �� <br /> Applieant Signature Date <br /> City of Everett Office Use Only <br /> Approved By: <br /> Utilities Department Authorized Signature(Required) Date <br /> ' � � � Y��/'� .t'���'�` <br /> . � � � ���� 2� <br />