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2135 PARK AVE LINE 5 2016-01-01 MF Import
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LINE 5
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2135 PARK AVE LINE 5 2016-01-01 MF Import
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Last modified
5/4/2017 10:31:55 AM
Creation date
3/17/2017 9:48:42 AM
Metadata
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Template:
Address Document
Street Name
PARK AVE
Street Number
2135
Tenant Name
LINE 5
Imported From Microfiche
Yes
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/ I <br /> � � <br /> IpR�l AGR�EM�NT <br /> I <br /> i <br /> iThe undersiQned hereby requests the City of Everett to waive <br /> � the PRV charge on his/her water service at <br /> ' �s �{r� �Tpp�f�Sho�=���'.�0�The undersigned <br /> � �/ <br /> � represanta that the service at said location presently has a PRV <br /> I <br /> i in good wcrking order and that, in conaideration of waiver of <br /> i <br /> � said charBa, for the period that �andarsiBned is a Water service <br /> icustomer at the above location, the undersigned agrees: <br /> j1 . To maintain said PRV in eood Working order; and <br /> I2. To release the City of Everett from any and all <br /> I liability arising Prom increased operating pressures on <br /> the �5 transmission line to w�iich the above water <br /> , I service is connected; and <br /> ' 3, To indemniPy and hold harmless the City of Everett from <br /> ! any and all claims related to the failure of the PRV <br /> installed at the above location. This indemnity is on <br /> I behalP oP the undersigned, and the undersigned agrees <br /> + to notify the city of Everett of any change of <br /> I oKnarship of the water service connection at the above <br /> � location. <br /> I <br /> � DATED this ��day o4 5'�fTE/��� � 1987. <br /> i � .�/�- s� l��+'��-- <br /> STATE OF WASHINGTON) <br /> ss: <br /> COUNTY OF s/��/�L� <br /> � I certiPy that I knoN or have satisfactory evidence <br /> � <br /> that _p�Lh� �✓W�����—��—LlE signed this <br /> j instrument and acknowledged it to be (hi_, �@r, t�r) free <br /> \ <br /> � and voluntary act for the uses and purposes mention in the <br /> i <br /> j instrument. <br /> � <br /> � Dated: Sfi��"FJ7.d���_�7__ <br /> � (Seal or Stamp( Signature of �.l�`l <br /> Notary Public: �– <br /> � <br /> Title� _ <br /> � My commissiott expires: /���� <br /> I <br />
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