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f3ACKVVATFR VALVE AUTIIORI7ATION ' <br /> I. Ycimission lo InsaecL Thc Owncr granLe pcmiissimi to thc Cily :ind its conuactar to <br /> inspect �he plumbing and drainagc of tlie Owner's prope�ty for the punosc ot gathering <br /> info�mation regarding whether a b;ickwatcr valve should be u�sialled. The City and <br /> Owner Nill c�nperate to detertnine a mutually agreeable time for the inspection. The <br /> inspcctio�� is at thc Ciry's sok cost. <br /> 2. I3ackwa!er Valve. <br /> A. Citv Rcvicw qf In�cetiun and Permission to hutall Backw;�tcr Valvc. Thc City <br /> � will review the results of the inspection and will detemvne whether a hackwaler <br /> � valvc should bc installcd. Dy signing this aufhori�ntion, the Owner gr.�nts Q�e <br /> City and its contrnctor permission to install the Uackwatcr valve if the City <br /> dcicrmincs thut a Lackwatcr vuh�e should be ins�illcd. This installation is at the <br /> City's solc wst. <br /> 13. Other bevices. There may bc other dcvices that providc as good as (or greatcr) <br /> protcction tlian a backwntcr valve. By signing this aulhorization, the O�mcr <br /> grants the City and ils contractor permission lo install the other device if the City <br /> detemiines 1ha1 it should be installcd. This installution is at the City's sole cost. <br /> Howcvcr, if the Owner desires inst�llation of the olher device, but ihe City has <br /> determined to only install a hackwater valve, �hen the Owncr may install the other <br /> � devicc, und thc City will rcimburse thc Owner up lo the installntion cost o1'thc <br /> bnckwater valve. <br /> C. Puturc Maintcnancc. Upon installation, the bnckwater valve or other device is thc <br /> Owner's property. 'I'hc Owmer is exclusivcly responsible to maiutain it. <br /> ! 3. Olher Rccottunendcd Improvements. Aflcr the complction of ihe uispection, thc City <br /> may provide ihe wner with a list of other recommendcd improvcmcnts lo the properiy's <br /> ' plumbing at�d dr inage syslcros. The Owner is responsible for detcrminins, whcther to <br /> implcmcpt1thc rc o cndations on thc list and for paying for thc implcmcnUtion. <br /> � � �l)WNGR: I ,-i <br /> � � � 'i <br /> .. t <br /> �/J . <br /> Si �turc: Si�n��turc: <br /> � � . <br /> ' =! — v -- --- — <br /> 1 nnled ame: Prin(ed N:unc: <br /> : �� �� 4�.��c;�'�--__. <br /> Printed Address: <br />