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9205 52ND ST SE LINE 5 2017-04-17
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9205 52ND ST SE LINE 5 2017-04-17
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Last modified
4/17/2017 7:09:28 PM
Creation date
4/14/2017 3:45:07 PM
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Address Document
Street Name
52ND ST SE
Street Number
9205
Tenant Name
LINE 5
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the <br />PRV_AGRE.EM�N.T <br />The undersigned hereby requests the City of Everett to waive <br />PRV charge on hi <br />�r� � J�l7c� Jr.�� � <br />water service at <br />The undersigned <br />; represents Lhat the service at said location presently has a PRV <br />; in good working order and that, in consideraL•ion of waiver of <br />said charge, for the period that undersigned is a water service <br />customer at the above location, the undersi.gned agreas� <br />1. To maintain said PRV in goc�d working or.der; and <br />2, To rele�se 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; and <br />3. To indemniPy and hold harmless the City of Everett from <br />any and all claims related to the Pailure oP the PRV <br />installad at tho above location. This indemnity is on <br />behalP of tha undersigned, and the undersigned agrees <br />to notify the city of Everett of any change of <br />ownershit oP the water servicF connection at the above <br />location. <br />DATED this 1�.__ day of �_�—� � 1987. <br />_ �_.L�_� _<_��`�"� ---- <br />STATE OF WASHINGTON) <br />ss: <br />COUNTY OFS�`10���� <br />I certiPy that I know or have satisfactory evidence <br />that ���L—SD✓� �=s —__-- signed this <br />instrument and acknow]edeed it ta be �,�her, thelr) free <br />and voluntary act for <br />insi:rument. <br />(Seal or StAmp( <br />the uses and purposes mention in the <br />Dat�Cl : _1� l'" l --/�`_� ---- — <br />Signature of � <br />Notary Publ�f%��,��������� -- <br />T i t le � ------------------•----- <br />MY commission expires: �- L� ��_ <br />
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