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, i <br /> ; <br /> ; <br /> � <br /> BACKWATER VALVE AUTHORiZATION <br /> I <br /> E l. Permission to Insnect. ..T6e Owner grants permission to the Ciry and its contiactur to <br /> inspect the:plumbing and drainage of the Owner's properfy for the purpose of gathering <br /> infocmation regerding whether a backwater valve should be installed. The City and <br /> Owner will�cooperate to deteimine a mutually agreeable time for the inspection. The <br /> anspection is at thdCity's sole cost. <br /> 2. BackwaterVatve: " ` ' <br /> A. Cilv Review of Ln�ection and Permission to Install Backwater Valve. The City <br /> will nview the results of the inspection and will determine whether a backwater <br /> valve should be installed. By signing this authori7ation, the Owner grants the <br /> City and its contractor permission to install the backwater valve if the City <br /> detecmines:tLat a backwater valve should be installed. This installation is at the <br /> City's�sole cost. <br /> g, pther Devices. There may be other devices that provide as good as (or greater} <br /> protection tLan a backwater valve. By signing this authorization, the Owner <br /> grants ihe City and'its contracror pemtission to install the other device if the City <br /> dMem�ines that it should be installed. 'I'his installation is at the City's sole cost. <br /> However, if the Owner desires installation of t6e other device, but the City has <br /> determined to only install a backwater valve,then the Owner may install tMe other <br /> � device, and the City will reimburse the Owner up to the installation cost of the <br /> i backwater valve. <br /> C. Future Maintenance. Upon iastallarioq the backwater valve or other device is the <br /> � Owner's pmperty. The Owne;is exclusively responsibte to maintain it. <br /> i <br /> ; 3. Other Recommended Impr_ovements. After the completion of the inspection, the City <br /> ! may provide the Owner with a list of other recommended improvements to the property's <br /> plumbing and drainage systems. The Owner is responsible for determining whether to <br /> implement t6e recommendations on the Gst and for paying for the implementation. <br /> s <br /> OWIVER: <br /> : n „ <br /> , � JJ <br /> `�"t -�3Q,4�, •( /n -) <br /> i . . _, <br /> � S�ture: � ��• Signature: <br /> i <br /> i <br /> �'��� 1 t/`, �i 1 n���. �_y <br /> ; Printed Name: Printed Name: <br /> , <br /> •'.;);n /11 't�,.-."t?.. - : �'�';,' i_- � <br /> � <br /> Printed Address: <br />