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BACKWATF.R VALVE AUTHORI'LATION <br /> L Ycnnission to �isocct. 'Thc Owncr grunls permission to the City and its contractor to � <br /> ' inspect the plumbing and drainage of thc Owner's property for the purpose of gathcring <br /> infi�m�atiun rcgarding whcthcr a back�vatcr valvc should be installcd. '1'hc City and <br /> Owncr will cooperatc to determinc a mutually agrecablc time for [hc inspection. 7'hc <br /> inspcction is at tlic City's sole cost. <br /> � <br /> ; 2. 13ackwatcr Valvc. <br /> /,. Ci�Revicw of I_nspectio_n and Permission to Ins(all 13ackwatcr Valv .. l'h: City <br /> will review thc results of thc inspcction and �vill deiermine whcther a 6ackwaler <br /> valve shoulcl bc installcci. 13y signing this authoriz:uion, thc Owncr grants thc <br /> City and i1s con[mctor pennission ro install �hc backwatcr ��alve if the City • <br /> dctcnnincs diat a back�aater val��c should he installed. 'Cltis inslallation is al the <br /> City's solc cost. <br /> R. Oiher Devices. There may be other devices lhat provide as good ns (or greuler) <br /> protection [han a bacl:watcr valvr. Uy signing this aulhorization, the Owner <br /> grants Ihc City:ind its contractor permission �o install ihc oqicr dcvicc if the City <br /> detennines lhat il should be instnlled. "T'his ins4111ation is at thc CiLy's sole cusl. <br /> I{owever, if the Owner desires insl:dlation of lhe othcr dcvicc, but the City has <br /> dct�rmincd to only iuslall a backw.iter valve, Ihen Ihc Owncr may inslall thc othcr <br /> device, and lhc Cily �vill rcimbursc the Owner up to lhe installation cost of lhe <br /> backwater��alvc. <br /> C. future Maintenance. Upon installation, the backwaler valve or other device is thc <br /> Owncr's properly. The O���ner is esclusively responsihle to maintain it. <br /> 3. Otlicr RecammendeJ fin�rovemenls. After Ihe completion af Uic inspection, lhe Ci[y <br /> niay providc thc O�vncr with a list of olhcr rccommcndcd iinprovcmcnts to thc property's <br /> plumbing nnd d�:�inagc systcros. Thc Owncr is responsiblc for dcicrmining ���hcthcr to <br /> � <br /> implemcnt ihc rccommend.�tions on �hc list m�d far paying iix Ihc implcmenlalion. <br /> � OWNb:R: � <br /> I /,: - <br /> .iji�z-�'���J _ /�rJ <br /> - -�- - - ----- <br /> Signaturc: i tiignn�urc: <br /> � � �U CC � '` l� D ��.1 � <br /> Printcd Name: Printccl Namc: <br /> � <br /> � . <br /> i 7 I /�Q 1✓��/ � ,/�'I ''L <br /> Printed Address: <br /> ��..f? L�"�T" 1 t/,4'-• 'i,�z _�_; <br />