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� i��C�l.���� <br /> ]3ACKWATER VALVF, AU7'HORIZAPION� � �)�� D <br /> i 5 1013 � <br /> 1. Permission to fnsnect. 7'he Owncr gronts permission to the City ant�R��or)�c r <br /> inspcct the plumbing and drainnge of tl�e Owner's propert} for the purpose of�,7atf,��RKS <br /> information rcgarding whether a backwatcr valve sho�dd he inslalled. 'I�he Ciry and <br /> Owncr ��-ill cooperatc to dctcrminc a mutually agrcr.�blc timc for thc inspcction. Thc <br /> inspection is�+�thc City's sotc cc�st. <br /> 2. Rackwater Valve. <br /> A. C� Rc_victv o�'Inspecti�n �nd 1'crmission lo Inslall 13ackwutcr Valvc. 'fhc City <br /> will revicw Ihe resulis uf the inspcction and will determine���hether a backwiter <br /> valve shotdd be inslalled. [3y sibming �his aull�oriration, Ihe Oµ'ner 6Tants thr <br /> Cily nnd its wntrnctor permission [o install lhc backwatcr vah�c if thc Cit}' <br /> dctcrmincs Ihat a backwatcr valvc should hc installed. This installation is at tlic <br /> City's solc wst. <br /> B. Other Devices. 'Pherc may bc othcr de��iccs that provide as good as (or erwter) <br /> prolcction than a b�ckwatcr ��alvc. Hy signing Wis aulhorizalion, �hc Owncr <br /> gr;uits the City and its contractor pcmiission to install the other device if thc Cit}' <br /> detemsincs that it should be insWlled. This inslallation is at the City's solc cost. <br /> Flo�aever, if the Owner dcsires installation of the other device, but thc City has <br /> dcicmiinccl !o onlv inst�ll a backµ�ater valve, tlten thc Owner may install the other <br /> devicc, and !he City will rcimbursc thc Owncr up to thc installation wst of thc <br /> backwntcr valve. <br /> C. Puwrc Mainten�nce. Upon installalion,thc backwater valve or other device is the <br /> Owner's properly. The Owner is exclusively responsible to mainlain it. <br /> 3. Olher Rccommendcd LnnmvcineNs. After Ihe completion of ihc inspection, tlic Ciry <br /> may providc tlic Owncr with n list of othcr rccommcndcd improvcmcnts lo thc properry's <br /> pinmbing and drainage systems. 'Ihc Owncr is responsiblc for determining whcthcr to <br /> implcmcnl Ihc rccotnmendnfirnis ai lhc lisl mid for pnyin� for thc implcmcntation. <br /> O�VN�'R: <br /> tiir,nnlurl_-���/��. Signalurc: ------- — <br /> _�E i � P �i �'/� _ __ <br /> Printcd Name: Printed Name: <br /> / .3 i / Gi2��_t__/�__�lrL., <br /> Printed Address: <br /> �-�i,�i� ��. <br /> . ��� �/ <br />