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13207 THREE LAKES RD LINE 5 2016-01-01 MF Import
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THREE LAKES RD
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13207
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LINE 5
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13207 THREE LAKES RD LINE 5 2016-01-01 MF Import
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Last modified
3/29/2017 11:09:51 AM
Creation date
3/29/2017 11:09:22 AM
Metadata
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Template:
Address Document
Street Name
THREE LAKES RD
Street Number
13207
Tenant Name
LINE 5
Imported From Microfiche
Yes
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1 <br /> 1 �' <br /> j � <br /> ' j 1 <br /> I <br /> PRY JIGBEEMENT <br /> The undersigned hereby requeats the City oP Everett to waive <br /> the PRV charge on hia/her waLer sarvice at <br /> ' �3� Q 7 ���� � The undersigned' <br /> Irepresenta thet the service at said location presently has a PRV <br /> in Qood working order and that, in conaideration oP waiver of <br /> seid charQe, Por the period that underaiQned is a water service <br /> cuatomer at the above location, tha undersigned agreea: <br /> ?. . To maintain said PRV in good working order; and � <br /> 2. To release tha City of Everett irom an� and all <br /> liability arising Prom increased operating pressures on <br /> the q5 transmission line to which the above water <br /> • service is connected; and <br /> 3. To indemnify and hold harmleas the City oP Everett from <br /> any and all claims related to the fallure oP the PRV <br /> i installed at the above location. This indemnity is on <br /> behalP oP the undersigned, and the undersigned agrees <br /> � to notiPy the city o! Everett of any change of <br /> ownership oP the water service connection at the above <br /> locatio�. <br /> IDATED this � day o! 7�GL� 1987. � / <br /> w � �!- <br /> STATE OF WASHIN(3TON) <br /> COUNTY Ot�p��QLY1l�S� <br /> : certify that I know or have satisPactory evidence <br /> � that �l. � . �t'� [-e l�-S_ signed this <br /> i <br /> I instrument and acknowledged it to be (his, her, thelr) free <br /> Ic�nd voluntary act for the uses and purposes mention in the <br /> jinstrument. <br /> Dated: / 1�!��_____ <br /> (Seal or Stamp( SiRnature oY <br /> Notary Public: {����n <br /> Title: � � <br /> i My commis�,ion expires: a3 i9s <br /> � <br /> � <br /> ' <br /> , ; <br /> I � <br />
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