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� . . <br /> , <br /> r � , <br /> <. RECEIVED <br /> . . • � i SEP 24 198/ <br /> PRX 1�SixEEM�HT <br /> UTILITIES DIV. <br /> The underaianed heraby requests the City oP Everett to waive <br /> Ithe PRV charQe on hia/her Water service at <br /> , �,D 2 r�� �� , The underalaned <br /> i <br /> 1 representa that the service at said location presently has a PRV <br /> Iin Qood Working order and that, in conaideration oP rraiver oP � <br /> � seid charQe, Por tha period that undarsianed is a water serviae <br /> I customer at the above loaation, the undersigned aBreea: <br /> 1 . To maintain said PRV in good Norking order; and � <br /> 2. To releaae the City of Everett trom anY and all <br /> liability arising Yrom increased operating preasures on : <br /> ! the �5 transmiasion line to which the above water <br /> service is connected; and <br /> I I 3' To indemnity and hold harmless the City ot Everett from <br /> any and sll claims related to the Pailure o4 the PRV . <br /> installed at the above location. This indemnity ia on <br /> Itohanotify ttheuncitYigofd�Everettheoi�dan3•1BchanQereQ� <br /> IoWnerahip oP the water aervice connection at tha above <br /> i <br /> location. <br /> � DATED this _�_ daY of ---�dl�-�- --- ' 1987• ^� <br /> i � �4� <br /> STATE OF WASHINf3TON) <br /> ss: . <br /> COUNTY OF S� isl� <br /> I certliy that I know or have satisPactory evidence , <br /> that � � V�'tG�K' _------ signad this <br /> instrument Knd acknowledged it to be (hia her, their} Yree <br /> I and voluntary act for the uses and purposes mention in the <br /> I <br /> � instrument. <br /> IDated: - � � T�-�_-- <br /> I (Seal or Stamp( SiBnature oY ,�2� <br /> � Notary Public: <br /> I Title: <br /> `tj� �i�.t-eett��� ! <br /> � , <br /> ' I ,�i yo <br /> My commission expires� L_ - — , <br /> � <br /> i <br /> i <br /> i <br /> � , <br /> , � � � . <br /> : , - /-J <br /> 'I <br />