Laserfiche WebLink
i <br /> � . .t,� i <br /> � I <br /> I <br /> pRY .Aa�EM�NT <br /> The undersigned hereby requests the City oP Everett to waive <br /> the PRV charge on his/her water service at <br /> " �2/n /7A�.('. /q l/� �QLslt�em�,,y� U/A.�.S/`. The undersigned ' <br /> Irepresents that the serv.ce at 9ald lccation preaently has a PRV <br /> in Qood Korking order a.nd that, in consideretion of Waiver of <br /> � said charQe, Por the pariod that undersiBned is a water service <br /> customer at the above location, the undersigned agrees: ' <br /> 1 . To maintain s+►id PRV in good working order; and <br /> 2. To release tl.�e City of Everett from any and all <br /> liability arising Prom increased operating pressures on <br /> the �t5 transinission line to which the above water <br /> service is connected; and <br /> 3. To indemnify +�nd hold harmless the City of Everett from <br /> I any and all claims related to the failure of the PRV <br /> � installed at the above location. This indemnity is on <br /> Ibehalf o4 thE� undersigned, and the undersigned agrees <br /> j to notiPy the city of Everett of any change of � <br /> I ownerahip of the water service connection at Lhe above <br /> i location. <br /> i <br /> � DATED this ���I day oP _ , 1987. ; <br /> ! <br /> I ���--- <br /> STATfi OF WARHINGTON) <br /> COUNTY OF��lgB. <br /> I certify that I know or have satisfactory evidence <br /> � that _�BEI�T �� �Sk___� signed this <br /> i <br /> � instrument and acknowledged it to be (his, her, their) free <br /> � and voluntary act for the uses and purposes mention in the <br /> � <br /> � instrument. <br /> IDated: ��1 g�_ <br /> � - <br /> I (Seal or Stamp( Signature of <br /> , Notary Public• _ _�— <br /> I JL.�dt�.�� <br /> i Title: _ <br /> I p�q � <br /> � MY commission expires: �i-- � � __ <br /> � <br /> ' <br /> i <br /> i <br /> �, <br />