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5406 99TH AVE SE LINE 5 2016-01-01 MF Import
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99TH AVE SE
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5406
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LINE 5
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5406 99TH AVE SE LINE 5 2016-01-01 MF Import
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Last modified
4/17/2017 8:08:52 PM
Creation date
4/14/2017 2:07:15 PM
Metadata
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Template:
Address Document
Street Name
99TH AVE SE
Street Number
5406
Tenant Name
LINE 5
Imported From Microfiche
Yes
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/, <br />.. ��pe/.S '4� • <br />PRV AGi3EEI1�NT <br />1 . <br />RECEIVED f <br />SEP 24 lydl <br />UTILIT�ES DIV. <br />The undersi8ned harebY requesta the CitY o4 EVerett to Waive <br />charie on hia/her <br />water service at <br />tha PRV � �� _ • ___ , The undareiQned <br />-5-"'-- � eaid loeet�on preeer�tlY ha8 a pR� <br />repreaents that the aervice et Maiver of <br />end that, in conaideration of <br />' in gaod workin6 order e Nater service <br />aeid charie, for the per��d that underei.ined ia <br />cation, <br />the undersiBned aBrees� <br />cuatomer at the above lo oa �orkinQ order; and <br />1, To maintain snid PRV in Bo end all <br />the Gity of Everett irom anY <br />om increaeed oparet�nB Preasur�ater <br />2, To release ariaing W�ich the above <br />]iebility to <br />tha a5 transmiseion lp�d <br />aervice ia connected; of Everett from <br />and hold harmless the City Lhe pRV <br />g To indemn ��i claime related to the failure of �e an <br />anY �na the abo�e location. Thia indemnity <br />ina�alled at and the undersiBcha�Bereof <br />behalf of the undersl6ofa�Everett oY anY <br />Lo notilY the city et the abave <br />ownerehfp ot the water service connectlon <br />locatio!� • <br />, _//Iuil ,: <br />� � � � � �'�- �'� <br />�------ <br />&TAT$ Off WASHIl13TON)88. <br />C011NTY OFCl��= � <br />I certilY that I know or have satlsfacLorY evldence <br />that ---L'�� Ru. o� --------- <br />siBned this <br />( h � e � �]S�'� <br />their) free <br />instrument and <br />and voluntarY <br />inatr�ment. <br />�� <br />..�;r, R. S�.. <br />� <br />�� � <br />�'UBI�G <br />qy.l� .� <br />OF WAs� <br />acknowledged it to be <br />act for the usee end purpodea mention in the <br />( <br />• <br />Dated� _-F-�—�S � -- -- --- <br />SiBnetu public� � - <br />NoterY �—� � / <br />�----- <br />Title� <br />exv�rea: SJ1�---- <br />My ,;o�n�nsio� <br />
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