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13506 THREE LAKES RD LINE 5 2016-01-01 MF Import
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THREE LAKES RD
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LINE 5
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13506 THREE LAKES RD LINE 5 2016-01-01 MF Import
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Last modified
3/29/2017 11:45:50 AM
Creation date
3/29/2017 11:44:52 AM
Metadata
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Template:
Address Document
Street Name
THREE LAKES RD
Street Number
13506
Tenant Name
LINE 5
Imported From Microfiche
Yes
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, <br /> � � <br /> I PRY11aREEMENT <br /> I <br /> The underaigned hereby req�ests the City of Everett to waive <br /> � the PRV charge on his/her s+ater service at <br /> i ��������Cf�S f7. Tha underaigned <br /> ; represents that the service at said location presently has a PRV <br /> iin good working order and that, in consideration of waiver o£ <br /> ' said charQe, for the period that underaigned is a water service <br /> Icustomer at the above location, the underaiened agrees: <br /> � 1. To maintain said PRV in Qood workinQ order; and <br /> I <br /> ! 2. To release the City of Everett from any and all <br /> liability arising from increased operating pressures on <br /> the �t5 transmission line to which the above Water <br /> • service is connected; end <br /> � 3. To indemnify and hold harmless the City of Evarett from <br /> any and all claims related to the failure of the PRV <br /> � installed at the above location. This indemnity is on <br /> � behalf of the undersigned, and the undersigned agrees <br /> to notify the city of Everett of any changa of <br /> � ownarship of the Water aervice connection at the above <br /> � locatlon. <br /> i <br /> i DATED thie ,� day of , 1987. <br /> � L�u��1 <br /> �'i'r�.TB OF WASHIN(3TON) <br /> �- � ��"� sa: <br /> COUNTY OF .,�Ka�p t�2 r_S� <br /> � I certify that I know or have satisfactory evidence <br /> jteac �L��C- s F. N� I? R ��c _ gienea cnis <br /> � <br /> I inatrument and acknowledQed it to be (hia, her, their) free <br /> � and voluntary act for the uses and purposes mention in the <br /> I <br /> � instrument. <br /> � netea: �l � � 7�---- <br /> , <br /> i (Seal or Stamp( Sienatura oP <br /> Notary Public _ <br /> j <br /> Title: <br /> 0 Zf <br /> My commission expires: ���� <br /> � <br /> � <br /> � <br /> — fI <br /> r_. <br />
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