Laserfiche WebLink
K, <br />PRY -AGREEMENT <br />The undersigned hereby requests the City of Everett to waive <br />the PRV charge on his/her water service at <br />5232 83rd Ave. S.E. Everett, Ja. 98205__--____. The undersigned <br />t <br />represents that the service at said location presently has a PRV <br />t <br />that, in consideration of waiver o <br />in good working order and <br />Hsaid charge, for the period that undersigned is a water service <br />custcmur at the above location, the undersigned agrees; <br />i 1. To maintain said PRV in good working order; and <br />t from <br />ny and <br />ll <br />2 To release the liability arising Cfrom increased ity of toperating apressures aon <br />the N5 transmission line to which the above water <br />service is connected; and <br />I <br />i 3. To indemnify and hold harmless the City of Everett from <br />any and all <br />RV <br />installed at claims <br />related the <br />failure h <br />abovelocation.ThisfndemnityisPon <br />' behalf of the undersigned, and the undersigned agrees <br />to notify the city of Everett of any change of <br />ownership of the water service connection at the above <br />location. <br />DATED this 14thday of --- Septembe1987. n ----- <br />STATE OF WASHINGTON) <br />as' <br />COUNTY OF .5no-gad ) <br />I certify that I know or have satisfactory evidence <br />that --- Helen E. Berg_—__— --- signed this <br />I instrument and acknowledged it to be (his, her, their) free <br />and voluntary act for the uses and purposes mention in the <br />Instrument. <br />Dated: _ September 14, 198I— __-_--__- <br />(Seal or Stamp( Signature of % <br />Notary Public: - - --- <br />Title: __RySI�IIL��i�8 �- <br />t4y commission expires: __9�L 4-.- <br />