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�3ACKVVA'PER VALVL AU'I'HORIZAT[ON <br /> I. Pcmiission lo Insocct., Thc Owncr gran(s pennission to the City and ils conlractor to <br /> �nspect ihe plwnbing and Jr�inagc of thc Owner's property for thc purpose of gathering <br /> infomialion regarding whethcr a backwater ralve should bc installed. The Ciiy and <br /> Uwncr will cooperale ro deterniine a mutually a�ceeable time for the inspeclion. The <br /> inspcction is at lhc City'S SOIC COSI. <br /> 2. Rackwatcr Valve. <br /> p. Citv Rcvicw of Inspcction �nd Pcrmission to fnstall flackwutcr Valvc. Thc Cily <br /> will rcvicw thc results of the inspection and will determine whether u backwatcr <br /> vah�e should bc installed. [�y signing this authoriration, ihc Owncr grants thc <br /> Cily and its comractor pcmiission �o install �hc bac;walcr v.ih�c i( the Cily <br /> determines that a hackwatcr valvc should be installed. 7�his instatlation is at thc <br /> Cily's solc cost. <br /> L�. Otlier Devices. Tliere may be other devices that provide as good as (or greatcr) <br /> protcction Ihan a backwntcr valvc. By signing this authoriz�tion, thc Owncr <br /> grants Ihc City and ils contractor perniission to install thc oAtcr dcvicc if thc Cily <br /> dctcrmincs Uml il should bc installcd. This installation is at the City's solc cost. <br /> However, if die O���ner Jesires installation o( thc othcr devicc, but thc City h�s <br /> detemiined to only install a backwater vah�c, then the Owner may install thc other <br /> dc�icc, and thc City �ti•ill rcimbursc thc Owncr up to Ihc installatinn cost of thc I <br /> backwatec valvc. <br /> � <br /> C. I'ulure �4aintcnance. Upon instnllation, Ihc backa�atcr valve or othcr device is thc � <br /> Owner's properly. The Owner is exclusivcly responsible to maintain ii. <br /> � j <br /> 3. Othcr Rccnmmended hnnro�-emcnts. Afrer �hc complc�ion of thc inspcction, Ihc City � <br /> may provide the Owner���ith a list of othcr recommcndcd imprnvemems lo lhc propeny's I <br /> plumbing and drainage systcros. "I�hc O�vner is responsible for dcicrmining whcther to . ; <br /> implcment the rccommcndations on the list and for paying fur the implementation. � <br /> . � <br /> ' UVV C2: -� <br /> i �•��"`— Si nature: � <br /> � Signature. B � � <br /> � I!T i�`���F�.� - - - — I <br /> IPrinted Nnme: Printed Nnmc: <br /> �8/5�'iud R�e � <br /> Printcd Address: <br /> �;v�-, 1�tfa qg�0/ . <br />