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2. <br />���c��o��D <br />��1 012013 � <br />13ACKWATGR VALVE AUTHORIlATIO NI'IC W�jZKS <br />Pcrmissinn to Inspect. Thc Owncr gr:mts permission to thc City� and its contraclor to <br />inspcct ihc plumbing and Arainagc of lhc Otvncr's properry for Ihc purposc o( gathcring <br />inl'ormalion rcgarding whcther a backwalcr valvc should bc insullcd. "lhc City anJ <br />Owncr will coopci��+tc lo dc�enninc a muumlly agrecablc limc fi�r Ihe inspeclion. The <br />inspection is al ihc Cily'S solc cosl. <br />Backw�ler Valvc. <br />A. Cil�� Rcvic�v �if Ins�icctinn and Pcrmiscion In Inst_dl LS;ick�c_atcr Val�e. l�he Cily <br />��•ill rcvicw thc rcwlls of thc inspcction and �eill dciciminc �vhcthcr a backwalcr <br />valvc should bc insiallcd. 13y signing this authorization, lhe Owncr granls tl�c <br />City and its contracror pcnnission .0 inslali thc backwatcr vah if dic Ciiy <br />dctcrmincs that a backwaler valvc should bc instaCcd. 'Chis uist�llation is at thc <br />Cily's sile cost. <br />Othcr Dcviccy. 'fhcrc may bc othcr deviccs tha; providc as good as (or grcatcr) <br />protcctinn than a i�ackwalcr valvc. 13y signing Ihis aiUhorization, lhc O�vncr <br />grants thc Cily and ils ::onlraclor permission lo inslall thc olhcr dcvicc if thc Cily <br />CIClCI'ItlII1C5 1I18I II $IIOUI� hC 10Sl8IICLI. I i115 IfI5I8IIi1tI0fl IS d� LI1L' CILy's solc cosl. <br />l lo�ccvcr, if thc Owncr d��ires installution uf ihc othcr dcvicc, but thc Ciq� h�s <br />dcicnnincJ to only install � backwatcr val��c, thcn lhc Owncr mny install thc uthcr <br />device, and Uic Cit}� will reirnawsc die Owner up to the installntion cosl of the <br />back�t�alcr val��e. <br />C. I�uturc Maintenancc. Upon installalion, tlic hacivvatcr ��alvc orothcr dcvicc is thc <br />Owncr's property. 'I'hc q«�ncr is esdusivcly responsihlc to maintain it. <br />3. Othcr Rccommcnded Improvcincnts. Aflcr Ihc contplction oi' dtc inspcction, (h� Cit}, <br />may provitic Ihe O�+iicr �vith a list af alhcr recontmended improccmeniti lo Ihc pioperly's <br />plumbin� and drain:ige syslcros. 'I'hc Owner is responsiblc for oetennining whether to <br />implcmcN thc rccomm�adations on Ihc list and for paying for the implcmcnialion. <br />o,�. �.�- <br />__.0_ � �'-t I'� /�-fG�-O <br />Si�riaturc: <br />l M lil� /�-fc.�t➢ <br />r���u�a ��,;;,�:- --- - <br />S 7� 7 c��r�r /� <br />Prinlcd Address: <br />_���� <br />Signalurc: <br />--�`,�, \��nr� <br />Prinled Namc: <br />✓E E�%�t�T <br />��` � ��->cl� <br />