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. RECEIVED <br /> � , .� SEP 2 S 1987 <br /> � PRV pGR�EMENT UTILITIES DIV. <br /> i <br /> i <br /> iThe undersiQned hereby requests the City oP Everett to Waive <br /> � the PRV charge on his/her water service at <br /> � Z��O � �� ✓CJ� C�Cl�fG�����. The undera:�ned <br /> i <br /> irepreaenta that the aervice at aaid location presently has a PRV <br /> � in good working order and that, in consideration of waiver of <br /> iaaid charQe, for the period that underaigned is a water sarvice <br /> I cuatomer at the above location, the undersiQned agreas: <br /> � 1 . To maintain said PRV in good working order; and <br /> i � <br /> I2. To releaae the City of Everett from any and all <br /> ! liability arising Prom increased operating pressures on <br /> � the �t5 transmission line to Which the above Water <br /> • i service is connected; and <br /> j 3. To indemnify and hold harmless the City of Everett from <br /> i any and all claims relate6 to the failure of the PRV <br /> installed at the above locar.ton. This indemnity is on <br /> j behalf of the undersigned, and the undersigned agrees <br /> to notify the city of Everett of any chanee of <br /> ; otmership of the water service connection at the above <br /> i location. <br /> i DATED this � day of �_ . 1987 . <br /> , <br /> �A��� <br /> STATfi OF WASHINGTON) • <br /> ss: <br /> COUNTY OF snohomish ) <br /> I I certiPy that I knoa or have satisfactory evidence <br /> ! that _Richard L. Coon_____,__ signed this �� <br /> � inatrument and acknowledged it to be (his, her, their) free <br /> � and voluntary ect for ttie uses and purposea mention in the <br /> i <br /> I instrument. <br /> ,���\��\\\��, <br /> � -` M. Hq �'h� <br /> . <br /> � _ �P,,.,,,.,,,,, N �, <br /> i ��1_o��,�SS�ON�,�p���,sFA���j Dated: 9-25-87 --------- <br /> •� �/�c' T f �ii r I <br /> f Seal � :��( ; � Signature of � <br /> � � � sZ� Notary Publ ,�-�l�i�-s� <br /> �•�' , PUBLIC _o , ---- <br /> � . � . <br /> �/ '� ��� q� = �� Title: Ferson Banker Aesociate __ <br /> I / ���'����ls��.• '�V_ <br /> ; �'',Fpf WAg�`�.� My commission expires: ��a_an _ <br /> ����������`. <br /> i <br /> I <br />