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I <br /> � BACKWATCR VALVE AUTHORiZAT10N <br /> i <br /> ! I. Permission to Ins ect. 7'hc Owner grants permission lo the Ciry and its contractur to <br /> � inspect lhe plumbing and drainagc of thc Owner's pmperty for thc purpose of gathering <br /> infortnation regarding whcther a backwater valvc should be installed. 'Ihe City and <br /> Owner will cooperetc to detertninc a mutually agrecablc time for the inspection. T'he <br /> i inspcction is at lhc City's sole cost. <br /> 1 2. Bnckwater Vnlvc. <br /> � A. Citv Rcview of fnsnection und Permission to Inslall Backwatcr Valvc. 'Phc City <br /> 3 will review the resulis of the inspection amd will delermine whelher � backwater <br /> � vulve shoulJ be installcd. Ay signing this awhorizalion, the Owncr grants thc <br /> City and its contractor permission to inslall the backwater valve if the City <br /> � detcrmines that a backwnter valve should he inslalled. 7his instullntion is ut lhe <br /> � City's sulc cost. <br /> B. Othcr Devices. There mny Me other devices thal provide as good as (or grenter) <br /> protection thun a backK�ater valve. Hy signing dus nuthorizntion, the Owncr <br /> grnnls the City and ils conUactor permission to instnll the other device if the City <br /> determines that it should be instnlled. This instulletion is nt the City'c sole cost. <br /> liowevcr, if the Owner desires installution uf the other device, but thc City has <br /> detcrmined to only install u backwntcr valve, then tl�e Owner may instell the olher <br /> ' dcvice, end the City wili reimburse the Owncr up to thc installation cost of thc <br /> ; bacl�tivaler valvc. <br /> � C. Future Maintenancc. Upun installation, the backwatcr valve or olher devicc is thc <br /> Owner's property. 'Ihc Owncr is exclusivcly responsiblc lu maintain it. <br /> ! 3. Other Recommcnded hn rovemcnts. A(ter the complction of the inspeclion, Ihc City � <br /> may provide the Owner with a 19s1 of nlher recommended improvcments lo tlu property's <br /> plumbing and Jrainagc systems. '1'hc Owncr is res�nsible for dctcnnining whcthcr to ; <br /> implemenl the re mmcndalions on thc list nnd for puying far lhe implemenl�tion. i <br /> ;, OWNER: <br /> t <br /> � <br /> �: -- - — — <br /> A Signatur � � Signnturc: <br /> j �ti A- l� U�ti- ,J L C:S� �'I <br /> � --- � - - <br /> ;� Ptinted Name: � Printcd Namc: <br /> � 1 <br /> �3 � I — ��e S'-�" �-vt.�l,c,�{ � �_ �g 2 D J <br /> Printed AAAress:---��� <br />