Laserfiche WebLink
. - • � RECEIVED <br /> ..- ., ' , I SFP 24 1987 <br /> ! PRV. ..AGl3�EMENT <br /> , UTILITIES DIV. <br /> �I The undersigned hereby requests the City of Everett to waive <br /> il <br /> Ithe PRV charge on his/her water service at <br /> i12707 Three t.aY.es P.oad, Snohomish, t'A ?829Q The undersiened <br /> � represents that the service at said location presently has a PRV <br /> I <br /> iin Qood working order and that, in consideration of Naiver of <br /> said charge, for the period that underaiened is a water service <br /> cuatomer at the above location, the undersiened agrees: <br /> 1. To maintain said PAV in good working order; and <br /> I 2' To release the City oP Everett from any and all <br /> liability arising from increased operating pressures on <br /> ; the �5 transmission line to which the above water <br /> service is connected; and <br /> 3. To indemnify and hold harmless the City of Everett from <br /> � any and all claims related to the fallure of the PRV <br /> i installed at the above location. This indemnity is on <br /> behalP oP the undersigned, and the undersigned agrees <br /> I to notify the city oP Everett of any chanee of <br /> � oWnership of the water service connection at the above <br /> � location. <br /> DATED this 23rd day of Sentenbe _ , 198'�. <br /> i � � <br /> � v � <br /> �- <br /> (� L-��� -- <br /> ISTATE OF WASHINGTON) <br /> ss: <br /> ': COUNTY OF se�eHor!isH ) <br /> � <br /> II certiPy that I know or have satisfactory evidence <br /> that CA"]IEI. E. P".cCCPT1 and JGDI 1,.?".cCOhTN signed this <br /> instrument and acknowledged it to be (�tt�s�Ckx�ox, their) free <br /> � and voluntary act for the uses and purposes mention in the <br /> instrument. <br /> IDated: SEPTE!'ACR 231_ 1967 _______ <br /> I (Seal or Stamp( Signature of`'��_�—��__Y <br /> Notary Public: <br /> i <br /> I . Title: �LL�4�—_- <br /> IMy commission expizes: ���f�_— <br /> I ' <br /> ' I <br /> � <br /> � <br /> I <br /> '-- -- - - ' -- <br />