7310 SKIPLEY RD LINE 5 COON WD 2016-01-01 MF Import

. � RECEIVED � � ' SEP2S 1987 PRY _AGF3��N1�N.T UTILITIES DIV. The undersigned hereby requests the City of Everett to waive Ithe PRV charge on his/her water service at ; 73�0 _ �� ,,�£��icti�ir,� ��, The undersigned I L Irepresents that the service at said location presently has a PftV � in good workin8 order and that, in consideration of waiver of � said charge, for the period that undersigned is a water service Icustomer at the above location, the undersigned agrees: 1. To maintain said PRV in good working order; and 2. To release the City oP Everett from any and all liabili2Y arising Prom increased operating pressures on the �5 transmigsion line to which the above water , i service is connected; and I 3 anYiandmnall claimsldrelatedgto htheiPailurevofethefPRV I �nstalled at the abuve location. This indemnity is on behalf of the undersigned, and the undersigned agrees to notify the city of Everett oP any change of I ownership of the water service connection at the above location. I DATED this �__ day of ��a-��_� , 1987 . ��=�1�-�=--- � ., STATfi OF WASHINGTON) ss� COUNTY OF Snohomish ) I certify that I know or have satisfactory evidence , that Richard L. Coon___________ signe3 this �. Iinstrument and acknowledged it to be (his, her, their) free Iand voluntary act for the uses and purposss mention i.n the � instrument. � ```��\\l1111 � �-QP M. NqNs�� I ; ��....�� ! .: 11 -.�T�S�ON (�piqh� F�l��j Dated: 9-25-87 --------- -- 1 � 1 i � r0� F,1'y I� I / ,� �/�o �� % � i �Seal ��( 's � Signature of /�� , �'�_ � � � ,. % �'► (� :z� Notary Publ Ji�// _2��1�� , \j � � I �j��h� P�B��o =v�� Title: Person _ Banker Associate _______ � I ,��F'QF�WAS�� Mv commission expires: _s=1i-�_--- I ��\\\��` r I i I ' I � I i i '