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' �I����� � . .. .. . <br /> ., � .:.� . � ci�� ' . <br /> IJ <br /> 13ACKV1'ATGR VALVF. AUTHURIlA'TIO�V <br /> �}, • <br /> ;J,'.:i_s� . ',, , , .,,: . <br /> .. , .••,.::: <br /> 1. Permission to Ins�ccL '1'he O��rocr grants permission to the City and its cnniractor to <br /> inspcct the plumbing and drainage of Ihc O�vncr's property for Ihc purpose ;;f galhering <br /> infornmtion regarding whether a back�vater valve should be inslallcd. Thc City :+nd <br /> Owner will cooperatc to detcnnine a tnulually agreeahle timc (or tl�c inspection. Thc <br /> inspcction is at thc City'S SOIC COSI. <br /> 2. Backwatcr Valvc. <br /> ' A. Citv Rcvictv of Inspection and )'ermission to Install l3uckwaler Vulve. 'I'he Ciry <br /> �vill revica• thc res�dts of th.: inspeclion and ���II determine whcther a backwatcr <br /> valvc should bc installcd. 13y signing lhis authorizalion, Ate Owncr grants Ihc <br /> City and its contractor pcmiission lo inslall lhc backwatcr valvc if thc City <br /> detertniucs that a bacl:watcr valve should bc installed. This installation is at thc <br /> City's solc cost. <br /> I?. Othcr Dcviccs. 7hcrc may bc o�hcr deviccs tha� providc as good as (or greater) <br /> protection than n bacl<waler vah�e. By signing this auQrorir:�lion, lhc Owncr <br /> grants�hc City and its contraclor pcnnission to install tlic othcr dcvice if thc City <br /> dctcnuincs that i� should bc inslallcd. 'l�his inslallalion is al thc City's solc cosl. <br /> Ilowcver, if the Owncr dcsires installation of thc othcr device, but thc City hos <br /> dctcrmincd lo only initall a backwatcr��alvc, thcn Ihc Owncr may install t(�c othcr <br /> d.;vico, and thc City will reimbursc lhc O�vncr up lo thc installalion cost of lhc <br /> backwatcr valvc. <br /> ' C. Fuwre Maintenance. Upon installation, the backwaler valve or other device is the <br /> Owners property. The OH•ncr is exclusively responsible �o mainlain it. <br /> 3. Othcr Itccommen�led hnpravements. A(ler lhc completion of ihc inspcctiun, lhe Cily <br /> may providc Ihe Owncr with a lisl uf oUicr recommcnded improvcmenls to ihe properly's <br /> plumbing and dr�inagc systcros. "1'he Owner is responsible for delermining whclher to <br /> implement thc rcconmiendations on thc list and li�r payin� for�he implcmcnlalion. <br /> O�VNER: <br /> �j���a!��-.- ---____ .. — <br /> Sign�ilurc: - -- Signalurc: <br /> �C rr � �oa��__ - - <br /> Printcd amc: Piintcd Namc: <br /> i4�cFrtSs 6-� P✓'e(JQry� v2��^� IS <br /> ro �3e ��s��.«�d � S �- <br /> � �-`d-.z4 ('oCh�-. �Ver�'If� <br /> Prmlcd Address: <br /> ryr+� ac%lrrss � T !�5'1 �' SNOJ1o.��rsG� �Q-�e <br /> SNoNarn.sh'� l�Q, 4�296 <br />