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- . . � i <br /> PRY��F��I7�H�' <br /> The underaiQned heraby requests the City of Everett to waive <br /> I the PRV charQa on his/her Water service at <br /> i (p7., ��� . � �U��,,,��:• �The underaiQned <br /> IJJ—'��.1,ID S . 6 --� <br /> represants that the aervice at said location presently has a PRV <br /> Iin good working order and that, in conaideration of waiver of <br /> said charae, for the period that undersigned is a water service <br /> customer at the above loaation, the undersigned agrees: <br /> 1 . To maintain said PRV in good working order; and <br /> 2. To release the Cit;� of Everett from any and all <br /> liability arising from incieased operatinB pressures on <br /> the �5 transmission line to which the above Water <br /> service is connected; ar..d <br /> I 3. To indemniPy and hold harmlesa the City oP Everett from <br /> any and sll claims reJ.ated to the failure of the PRV <br /> ' installed at the above location. This indamnity is on <br /> � behalf of the undersigned, and the undersi.gned agrees <br /> i to notify the city of Everett of any change of <br /> I ownership of the watar aervice connection at tha above <br /> location. <br /> I � <br /> � DATED this 2'��Y of — � � 1987. � <br /> i - <br /> I � <br /> STATfi OF WASHIN(iTON) <br /> . gs; <br /> COUNTY OF �d7C) <br /> I certily that I knot+ or have satisfactory evidence <br /> that ��E���'�� signed this <br /> i + <br /> � inatrument and acknowledged it to be (it4�-, her, bhe�-s-� free <br /> 1 and voluntary act fur the uses and purposes mention in the <br /> jinstrument. <br /> Datea: `t �t' � — <br /> , � -- -- <br /> Ie� ar_•S�.�mp( Signature of <br /> � P' "���iov��N���'t�'��l Notary Public: ____— <br /> � ;ti��'''h\' X'''i,,''✓• �Ij Title: O�D I-G� �C. <br /> 1 � � . , " eJ'- _'` � <br /> � �t. :. . -. ♦ ��--t—�-- <br /> � � . ' ' f My commission expires: <br /> ' �t/' '�. ., �� <br /> � - � ' `;: ` • <br /> ;� .� ,:. <br /> , . ;. �. � <br /> � !�',� � , . .. . ��� <br /> ��/'l'� h•.��:�r:.�.`" i� <br /> i +�����WAS���``` <br /> � <br />