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14613 THREE LAKES RD LINE 5 2016-01-01 MF Import
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THREE LAKES RD
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14613
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LINE 5
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14613 THREE LAKES RD LINE 5 2016-01-01 MF Import
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Last modified
3/29/2017 1:15:01 PM
Creation date
3/29/2017 1:14:25 PM
Metadata
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Template:
Address Document
Street Name
THREE LAKES RD
Street Number
14613
Tenant Name
LINE 5
Imported From Microfiche
Yes
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.p � . <br /> � � SGg- &983 <br /> i y-6 s <br /> PR�1_AGA��MENT <br /> I <br /> iThe vndersiQned hereby requeats the City of Everett to Waive <br /> � the PRV charge on his/her water service at <br /> ' �43 "�f�rCe M�S � SMD�1�. S'f�a.SO The underaianed <br /> i <br /> : representa that the service at said location presently has a PRV <br /> � in good working order and that, in consideretion of Naiver of <br /> � said charge, for the period that underaigned is a Water service <br /> custnmer at the above location, the undersianed agrees: <br /> � 1 . To maintain said PRV in Qood working order; and <br /> � 2. To release the City of Everett from any and all <br /> i liability arisinB Prom increased operating pressures on <br /> the 1t5 transmission line to ahich the above water <br /> • i service is connected; and <br /> � 3. To indemniYy and hold harmless the City of Everett from <br /> any and all claims related to the failure of the PRV <br /> � installed at the above location. This indemnity is on <br /> behalP of tha undersigned, and the undersigned agrees <br /> to notify the city of Everett of eny change of <br /> � ownera:�ip of the watar service connection at the above <br /> i <br /> � location. <br /> i DATED this �3hd day of �l t2� , 1987 (� <br /> � _ l_� �e,�l�Ad:--.,..� <br /> STATTs OF WASFlINaTON) <br /> C 93: <br /> COUNTY OFW12G1L'l�L�) <br /> I I certiPy that I knoa or have satisfactory evidence <br /> � that ___ �F'"��S I"Ye�?eim__ signed this <br /> � instrument and acknowledged it to be his, her, their) free <br /> i . <br /> and voluntary act for the uses and purposes mention in the <br /> I instrument. <br /> � <br /> i <br /> inetea: a�?___— <br /> � (Seal or Stamp( Signature of <br /> ' Notary Public� �dU �i���'�� <br /> I • <br /> Title: �n. ��li.a��,1�Qs1F n�c� <br /> My commission axpires� �����___ <br /> , <br /> � <br /> � <br />
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