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BACKWATEI2 VALVT AU1'IIORI7A1'[ON <br /> 1. Petmission to InsoccL The Owuer orants permission to the City and ils coutractor lo <br /> inspcct the plumbing and drai�age of tlie Ovn�cr's property for lhe purpose of gathe�ing <br /> infoitnatiou rega�ding whether a bac}.�vatcr valve sl�ould be instal[ed. '1'he Ciry and <br /> Owner will cooperate to detcmunc a ruutually agrecable timc for the inspection. The <br /> inspection is at the Ciry's solc cost. <br /> � 2. Backwater Valve. <br /> i <br /> � A. Citv Review uf lnsnection and Permission to install Backwlter Valve. The Ciry <br /> will re��iew die results of ihc inspcctiai and will determine whethcr a Uackwater <br /> valvc sliould be installed. IIy si�iing tltis authorizatiov, thc Owner granis Uie <br /> City and its contractor perniission to install the Uackwater valve if ihc City <br /> dclertnincs that a back�i�ater v:il��e should be instalicd. '1'his installation is at thc <br /> Ciq�'s solc cost. <br /> B. Othcr Devices. Thcre may Ue other deviccs that providc as good as (or greater) <br /> protection than a backwater valve. By signing this authorization, thc O�mer <br /> grants thc City and its contractor permissio❑ to u�stall ihe other device if thc City <br /> detemiines that it should bc installcd. 'I'Ius installalion is �l Qic Cily's sole cosl. <br /> However, if the Owner desires installation of ihe utl�c� device, but thc Cily has <br /> detcmuned to only install a backwatet valvc,ihen dic O�wer may instnll Uic othcr <br /> device, and the City will reimburse thc Owner up to the installation cost of the <br /> back�+�atcr valvc. <br /> C. Puture Mauitenance. Upon installation,tlic Uackwater valvc or other dcvicc is lhe <br /> Owncr's property. Thc O�vncr is exclusivcly responsible to maintain it. <br /> 3. Other Itecommended lmorovements. After the completion of the inspection, the City <br /> may providc thc U�tmer tvith a lisl of otfter ncommended improvements to the property's <br /> plumUing and drainage systenis. '1'he O��mer is responsiblc for delermining whelhcr to <br /> implement thc recommendations rni ilic list and for paying for Qic implemcutation. <br /> �� NGR: <br /> ��_�,e_..`r�, � <br /> l�-'=— ----- <br /> Signalure: Signature: <br /> ; -�, � �-�!,�I �l��=hL� --- <br /> � Printed Name: Pruited Name: <br /> � � ��� '�� ���/\�,��L� ,i�� ��c tt��`,. <br /> 1'rinted Address: - - <br /> ��l`�;` Z_�� I <br />