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. • ' �w�� • � � - • . � u <br /> � � 1 <br /> � <br /> I <br /> IPRY_A�Et�EM�HT <br /> i <br /> I <br /> ITha underai�ned hereby requeats the City of Everett to wRive <br /> i the PAV chnrge on hie/her water service bt <br /> ' �9�7 ��e L�'K� �� The underalQnad <br /> � <br /> ; represents that the service at said location presantly has a PRV <br /> � in Qood aorking order and that, in conaideration �f waiver of <br /> i <br /> � said charQe, Por the period that underaiQned is a water service <br /> Icustomer at the above location, the undersigned aerees: <br /> I <br /> 1 . To maintain said PRV in good working order; and <br /> 2. To release the City of Everett from any anc� all <br /> liability arising Prom increaaed operating pressures an <br /> the �5 transmisaion line to Which the above water <br /> . Iservice ia connected; and <br /> I 3. To indemnify and hold harmless the City of Everett from <br /> any and all clsims related to tha Pailure of the PRV <br /> ! installed at the above location. This indemnity is on <br /> � behalf oP the undersigned, and the undersiened agrees <br /> ito notify the city oY Everett oP any change of <br /> Iownerahip oP the water aervica connection at the above <br /> ' , <br /> location. <br /> i . <br /> • DATED this Z� day of A"Urof�ST , 1�87. <br /> i �jP/LY���,���[i�- <br /> STATfi OF WASHIN(3TON) <br /> $$� <br /> COUNTY OF _) <br /> iI certi4y Lhat I know or havn satiafactory evidence <br /> , that _ 7�a�t.t�-Ko� �. �'rr�.�, signed this <br /> � instrument and acknowledQed it to be is her, their) free <br /> � � and voluntary act for the uses and purposes menti�n in the <br /> i inatrument. <br /> I <br /> i Dated: _�� ����Z-- <br /> (Seal or Stamp( Signature oY <br /> � Notary Public• ____ <br /> � Tit•Le: � �+�5� <br /> � My commission expires: o2`9-q I _ <br /> � <br /> � <br /> I <br />