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13111 THREE LAKES RD LINE 5 2016-01-01 MF Import
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THREE LAKES RD
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13111
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LINE 5
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13111 THREE LAKES RD LINE 5 2016-01-01 MF Import
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Last modified
5/4/2017 10:28:08 AM
Creation date
3/29/2017 11:08:16 AM
Metadata
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Template:
Address Document
Street Name
THREE LAKES RD
Street Number
13111
Tenant Name
LINE 5
Imported From Microfiche
Yes
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. , <br /> .. , •� , <br /> ., _ <br /> PRY.I�GBEEMENT <br /> IThe undersigned hereby requeats Lhe City oP Everett to aaive <br /> i the PRV charee on his/her water service at <br /> I /�L THR61a' LAKES l2� ,S�:alro��[1,L rf��fp. The underaianed <br /> � representa that the aervice at said location preaently has a PRV <br /> Iin Qood working ordar and that, in consideretion of xaiver of <br /> said charge, for the period that undsrsigned is a wat�r service <br /> Icustomer at the above location, the undersigned agrees: <br /> 1. To maintain said PRV in good working order; and <br /> 2. To release the City of Everett Prom any and all <br /> liability arising from increased operating pressures on <br /> Lhe #5 transmisaion lin�s to which tl?� above water <br /> . i service is connected; and <br /> 3. To in��.emnify and hold harmless the City of Everett from <br /> � any ar.d all claims ralated to the failure oP the PRV <br /> � insta.11ed at the above location. This indemnity is on <br /> � behalP oP the undersigned, and the undarsigned aerees <br /> � to notify the city of Everett oP any c'..ange of <br /> � ownarahip of the Water aervice connection at the above <br /> ilocation. <br /> I <br /> i <br /> � DATED this � day of �.�,sf , 1987. <br /> —��1���'s'1 ---- <br /> STATfi OF WASHINaTON) <br /> � �,��,/�� ss: <br /> COUNTY OF����E�"",f`�) <br /> I certify that I krtoK or have satisfactory evidence <br /> j that ��� !�• �/��� ___ signed this <br /> i <br /> j instrument and acknowladged it to be (his, her, their) free <br /> � and voluntary act for the uses and purposes mention in the <br /> I <br /> I instrument. <br /> IDated: � ���� ____ <br /> i (St+al or Stamp( Signatura of � <br /> Notary Public: <br /> I / <br /> i Title: ___ �_ _ <br /> ' / !�' <br /> ' My commission xpires: � <br /> � <br /> i <br /> i <br /> : <br />
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