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, <br />� <br />PRV A�13�EM�NT <br />RECEIVED <br />SEP 21 1987 <br />UTILITIES DIV. <br />The undersigned hereby requeata the City of Everett to waive <br />the PRV charge on his/her water service at <br />� � J 7 � � ? � 3 �_ a .„,� ,���,� �9 U , The unders igned <br />represents Lhat the scrvice at said locat�on presently has a PRV <br />in Qood working order and that, in consideration of Haiver of <br />said charge, Por the period that undersigned is a water service <br />customer at the above location, the underaiened agrees� <br />1 <br />� <br />3 <br />To maintain said PRV in good working order; and <br />To release the City of Everett from any and all <br />liability arisinB Prom increased operating pressures on <br />the tt5 transmisaion line to Nhich the above water <br />aervice ia connected; and <br />To indemnify and hold harmleas the Clty oP Everett from <br />anY and all claims related to the failure of the PRV <br />inatalled at the above location. This indemnity is on <br />behalP of the undersigned, and the undersigned aerees <br />to notiPy the city oY Everott oP any change of <br />oNnerahip oP the water aervice connection at the above <br />location. <br />AATED this �y dgY of �l� 1987. <br />:✓ _� <br />� - ..d...��� -- <br />STATfi OF WASHINGTON) <br />ss: <br />COUNTY <br />I certily that I knoW or have satisfactory evldence <br />that ��P�'nar �i�y ' ,�/� � � s1B�gd this <br />inatrument and acknoaledged it to be (his, her, their) free <br />and voluntary act for the uses and purposes mentiun in the <br />instrument. <br />(Seel or Sl.amp( <br />netea: ����`�'-�—�11.�% <br />Signature of �� <br />Notary Public. � � � <br />Title: �� �!"'�`'`�'��E/ <br />My commission explree: � _�—g� <br />