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f <br /> � <br /> i <br /> BACKWATER VALVI�; AUTHORIZATION <br /> � I. )'crmission to Inspcct. 'fhc Uwncr granls permission to Ihe City arid ils cani,-actor to <br /> inspccl the plumhing and drainagc of the (�w�icr's property for thc puipose of gatnering <br /> infonnation rcgarding whethcr a back��:ater v.dve should be instaticd. Thc City �nd <br /> Owner will cooperale to determine a mulually agrccable timc for thc i�ispcctiun. 7he <br /> inspcction is al thc City's solc cost. <br /> � 2. Rackwatcr Valvc. <br /> � <br /> � r1. Gilv Itevic�v of Inspection vid Yeimission to lnslall I3ackwater Valve. 'I he Cit�- <br /> i will review ll�e results of thc inspecliun and u�ill dcicrminc whcdtcr a back��a�er <br /> ; vnlve should bc installcd. Ry signing this authariralio:i, the Owncr grants thc <br /> ; Cily a�id its conUaclor pcnnission w inslall the back�vatcr vxlvc if tlic City <br /> { dctcrmincs that a backwatcr ��ah•c should be inslallcd. "l his inst.dlatiun is .�� ilic <br /> � City's sole cost. <br /> 13. Other Devices. "I herc may hc othcr dc�iccs that providc as good us (or grcuter) <br /> + protection Ihan a backwutcr ��al�.c. Ry signing this aathori�alion, thc Ov.•ncr <br /> 1 grants thc City and its contractor permission to inslall thc othcr device if lhc City <br /> dctcnnincs that it should hc inslallcd. 1 his installation is �t thc City's solc cust. <br /> I I lowever, if Ihc O�t�ncr desires inslallalion of the other devicc, hut the City has <br /> dctcnnincd Io only inslall a backwatcr valvc, thcn Uic Owner may install thc othcr <br /> devicc, and the City �vill rcimburse the Owncr up to thc installation cost of thc <br /> bach�valer val��c. <br /> 1 C. Puturc nlainlcnancc. Upon inslall.�lion, thc bnckwatcr ���+Ivc or othcr dcvice is thc <br /> O�encr's properly. Thc Owner is c�clusivcly responsiblc to maint.{in it. <br /> i <br /> � 3. Other Reconnncndcd Imnrovements. After the completion of Uic inspection, the Cily <br /> muy pru��idc ihc Uwncr with a lisl of olhcr rccomtncndcd impru�cmcuts to U�c }n'upert��'s <br /> plumbing and di:�inage systcros. 'I'hc Owncr is responsible for detcnnining ���hethcr lo <br /> imp�ement the rccommend.rtious on thc lisl ;md lor paying for Ihe implemcntalion. <br /> O�S.1"� "�- - ----- <br /> . <br /> Signaturc: Signalurc: <br /> ������ <br /> Prinicd Nanic: Prinlcd Namc: <br /> 233 �ic._p_y—Qu�_Ec�2c—t�, t.�.s�1 <br /> Prinled Address: � <br /> j <br /> I <br />