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i l l�`i 'it <br /> , . ;,:._ ._ �i �i''i ;'_;. <br /> l3ACKWATER VALVE AiJTHOR17.A7'10(V; i; <br /> ) �,,.,�_;� � �t ,� , .,: . - <br /> _'�. _, :ti; <br /> 1. J'cnnissi�n to Insocct. The O�wicr grants permission to thc Ciry and its comracbr lo <br /> inspcct thc plumbing and drainage of ihc O�vner's property for thc purr;ose nF gathering <br /> infonnation regarding whether a back�vater valve should be installed. T�c Ciry.and <br /> Owner will cooperate to deiermine a mutually agrecable tiroc for the inspeclion. '1'he <br /> inspection is at the Citys sule cos1. <br /> 2. 13acl:wat.r Valvc. <br /> A. C:�kReview of Inspcction and i'cnnission w Inslall 13ackwaler Valve. 9�he City <br /> will rc�icw Ilic results of ihc inspection and «�II dctcnninc �vhcthcr a back��•atcr <br /> v�lvc sh�:nld he installcd. Ry signing this authorizaliun, thc O�rncr grants lhc <br /> Cily and ils coniractor pcnuission lo install Ihc backwater valac if thc City <br /> dctcmiincs thnt a backwaler vnl��c should bc inslallcd. This insLillation is at thc <br /> City's solc cost. <br /> B. Ot}ier Devices. There may be other devices that provide as good as (or greater) <br /> protection tlian a baclavntcr volvc. By signing Ihis uulltorizalion, Ihc Uwncr <br /> granls Ihe City �nd its conU.3ctor pemiission to install �he other device if Ihe Cily <br /> detennines that it shoulcl be inslallcd. This installation is at the City's sole cost. <br /> I lnwever, if Ihe O�mcr desires inctallation of'Ihc o�hcr device, hul Ihe Cily has I <br /> dctctmincd to only install a back�vatcr valvc, thcn thc Owncr may uistall tlic othcr <br /> dcvicc, and thc City �+�ill reimburse the O�vncr up lo thc instatl�lion cost of Ihe , <br /> backwatcr valvc. <br /> C;. I�uture Maintenance. Upon installatian, the backwater valve or other device is the <br /> O���ncr's property. 'Phc Owncr is exclusively responsiblc lm m�inlTin it <br /> 3. Otlicr Recummencled Inliro��emenls. Afler thc complelion of the inspection, lhe Cily <br /> nu�y ��ravidc tl�c Owncr wilh � lisl of other recommended impro��entenls to the property's <br /> plumbing :md drain;i�;c systcros. "I�he Owncr is responsible for detennining �vl�eAier lo <br /> implcmcnt Ihc rccommcndations on thc list and 1i�r paying for thc implcmcntation. <br /> O�VNEK: <br /> � ��- - — <br /> Signalurc: ---- Sigualurc: <br /> TC_��� �o�Lz's <br /> Prinled ame: — - Yrinted Name: <br /> A�{cfrtss 6-� pr'°I�Pr I '� Y2C�^� Jj <br /> ro �e //�'S f..((r�( � 5 � <br /> � ,�-�ZQ Ce�L�y� —v�r�?� � <br /> Printcd Address: <br /> .�1n,t sLdilrtSS 1S �CoB.Ps( $NOho.�!/Sh /4'Ye <br /> •• u <br /> 5 /i.o�'+`orn�5f-�� l�q, `jlr2`/6 <br /> 1 <br /> ., � <br /> , , . <br /> . , , � <br /> L`: - , <br />