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RECEIVED <br /> SEP 21 1987 <br /> PRV -AGREEMENT UTILITIES DIV. <br /> I <br /> The undersigned hereby requests the City of Everett to waive <br /> the PRV charge on his/her water service at <br /> I <br /> 160 yr _� 4 f��t The undersigned <br /> i <br /> represents that the service at said location presently has a PRV <br /> I <br /> in good working order and that, in consideration of waiver of <br /> I <br /> said charg( , for the period that undersigned is a water service <br /> customer at the i�bov,) local-,ion, the undersigned agrees : <br /> 1 . To maintain said PRV in good working order; and <br /> 2 . To role,ase the City of Everett from any and all <br /> iab .lity arisinv, from increased operating pressures on <br /> the V5 transmis2ion line to which the above water <br /> serv'.ce is connected; and <br /> 3. To indemnify and hold harmless the City cf Everett from <br /> any and all claims related to the failure of the PRV <br /> installed at the above location . This ; ndemnity is on <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 ati the above <br /> location. <br /> L°IL day of ^t/ 1 �__ <br /> DATED this II& 1987. <br /> ,g --cam--- <br /> STATE OF WASHINGTON) <br /> <'� ' ) ss: <br /> COUNT" `.r ,(�ALC1 1 ) <br /> I certify that I know or have satisfactory evidence <br /> that _�1p�c�5 ✓�1----------- signed this <br /> i <br /> instrument and acknowledged it to be (his, er their) free <br /> and voluntary act for the uses and purposes mention in the <br /> j instrument. <br /> j <br /> Dated: Se <br /> i (Seal of Stamp( Signature of <br /> Notary Public: <br /> Title: f r.. A7„ [_'irlv1ylt jt- <br /> I <br /> My commission expires : `�D_— <br />