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, <br /> i <br /> ,�,_.. , ,. , �. <br /> �I .,.-, ,)--?':i-��� �,�(^ r I <br /> '�11 l�_,J 11 <br /> IJ f'y'i� <br /> , IJGi. � l� GQf.'?i I 1 <br /> �✓� <br /> � }3ACFCNATT:R VAL,V� AU'd'I�Oit1ZA'9'9C)N�}�'�='Li:`� r�,-'`i?�` �; ,; <br /> ., ._ „ <br /> 1. Permission to ms�iect. "fhc Ou�ncr grants permission to tlie City and its contractor ro <br /> inspecl thc plwnbing a��d drainage of the O��mer's properry for the purposc of gathcring <br /> in(onuation rcgarding whethcr a backwatcr vah�c should bc installcd. Thc City and <br /> O�vner �vill coopciale to dcicr,nine a mutu�lly agrecahla time for Ihe inspcetion. 'I'he <br /> inspcction is:�t thc City's sofc u�st. <br /> 2, i3ackµ•atcr Vah�c. <br /> A. Cilv Rc��iew �f Tn�ectioii and Pcrmissign tq lnstall i}acl�vater Valve. Thc City <br /> � �ti-ill rc��ic��� t6c resulis of thc inspcction �nd �eil1 dcicimiuc wlicthcr a backwarer <br /> � ealve shoulcl hc inelalled. Ry signing �his authorization, lhe Otvner g�ants thc <br /> Cily xud ils conhaclor �crntissiuu to u;stall thc bacl;�vatcr valvc if the Cit�' <br /> dctcrmincs thut :� backwatcr valvc shoufd bc installcd. 'l i�is ius�nllation is at tlic <br /> Ciri's sole cnst. <br /> 13. Other I)cvices. 7'here may be other devices that provide as good as (or greater) <br /> protcctiou tLan a bacla��atcr vsh�e. 13y si��ing this �uLhorizatirni, thc Oaucr <br /> �,r:ut�s �he C:ity and its cou4'acior permission to inslall the other device if tlie City <br /> detennines tliat it should bc installed. This installation is at the City's solc co�t. <br /> 1lo�vcver, if the Owner dcsires installation of the other dcvicc, bul lhe Cily has <br /> detennined m only inttall a had:�vater v�lve, then thc 0��•nzr may install the othcr <br /> device, �u�d the City will rcimburse thc Owner up to �hc inslallation cost of thc <br /> bacl.�vatcr valve. <br /> C. Puture ��faintenance. Upon installntion,the back���ater val��e or other device is the <br /> Owncr's property. 71ic Owncr is c�clusively respnnsihlc to mainlain it. <br /> 3. n�hcr Rccommendcci lmprq��cmcnts. Aflcr thc complclian af thc inspcction, thc City <br /> may providc tl�c Owncr �vith :i lisl of othcr rccomrncndcd itnprovcinenls tu thc pruper���'s <br /> plumbing and drainagc systcros. Thc Owncr is responsiblc for dctcnniuing whed�cr tu <br /> itnplcmcut thc rccouuucndatious on thc list �ud f'or p.ry'ing fnr thc implcmcntation. <br /> (�\1'1 GK: ,/ <br /> ��f. �.���1,/�'.iti <br /> 1 ' <br /> -�„ ":,,_ � ,��,��.���-� - -- <br /> 5ign,dute: ,_ _. Sign urc: <br /> / <br /> . )LC_� 1�_ 1..C2..V( �( ��r \ .I`1��c4_�.1—�+�i..W.(,`.'�{r,Y��'�LS— r <br /> 1'rintcd n`amc:� Yrintcd Namc: � ) <br /> _l�_1s� -� .� �L_l`-1���--- <br /> PrintcdAddress' � � �� I <br /> l�:�JC�-�'fr � � `�� <br />