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� <br />PRY .AGi�EM�N.T <br />The undersigned hereby requests the City of Everett to waive <br />the PftV charge on his/her water service at <br />�dIO .� � ��-a� ��n�iayy� ��__l�/(��� The undersigned <br />rspresents that tha service at said location presently has a PRV <br />in Qood working order and that, in consideration oP waiver oP <br />said char�Le, Por the period that undersigned is a water service <br />customer at t}ie above location, the undersigned agrees: <br />1. To maintain said PRV in eoo6 working order; and <br />2. To release the City oY F.verett from any and all <br />liability arising Yrom increased operating pressures o7 <br />the �5 transmission line to which the above water <br />s�rv!ce is connected; and <br />3. To indemnify and hold harmless the City of Everett from <br />any and all eJ.aims related to the Pailure of the PRV <br />installed at the above location. This indemnity is on <br />behalf o4 the undersignad, and the undersigned aerees <br />t� notiPy the city of Everett of any chanee of <br />ownership of the wa±,er �service connection at the above <br />location, <br />DATED this � day of <br />STATE OF WASKINGTON) <br />�" gs: <br />COUNTY OF ��dpCrL.a,S� <br />I c tiPy that I know or have tisfactory evidence <br />that _ �_���Gs:D���iO� signed this <br />' V <br />in ument and acknowledged it to be (his, i�er, their 'free <br />and voluntary act for the uses and purposes mention in the <br />instrument. <br />Dated: _;�'��11�._���-- <br />(Seal or Stamp( SiBnature of � <br />Notary Publ�� � 2�u.0� <br />Title: _ i � ��b�—L <br />My commission ex ires: � <br />. � - �,. �,� ��� ,� <br />