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i <br /> PRV AGREEMENT <br /> i <br /> The undersigned hereby requests the City of Everett to waive <br /> i the PRV �charge on his/her water service at <br /> ! <br /> Zak <br /> XL The The undersigned <br /> I <br /> represents that the service at said location presently has a PRV <br /> in good working order and that, in consideration of waiver of <br /> I <br /> said charge, for the period that undersigned is a water service <br /> customer at the above location, the undersigned agrees: <br /> 1 . Tc maintain said PRV in good working order; and <br /> 2 . To release the City of Everett from any and all <br /> liability arising from increased operating pressures on <br /> the #5 transmission line to which the above water <br /> lservice is connected; and <br /> 3 . To indemnify and hold harmless the City of Everett from <br /> I any and all claims related to the failure of the PRV <br /> ! installed at the above, location . This indemnity is on <br /> behalf of the undersigned, and the undersigned agrees <br /> to notify the city of Everett of any change of <br /> i ownership of the water service connection at the above <br /> location. <br /> i n J <br /> DATED this edgy of J 1987. <br /> Lq <br /> STATE OF WASHINGTON) <br /> ss: <br /> COUNTY OF :igPflQL41S9) <br /> I certify that I know or have satisfactory evidence <br /> that _111fl`Ry— _I-�41R5 �_--_-- __ signed this <br /> instrument and acknowledged it to be (44- her t+vetr) free <br /> and voluntary act for the uses and purposes mention in the <br /> I <br /> instrument. <br /> Dated : , V d�SdL�ltL7T1_LL_2_ <br /> (Seal or Stamp( Signature of <br /> Notary Public- <br /> Title : <br /> ublic•Title : — /G ----- <br /> My commission expires : <br /> I <br /> t <br />