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i <br /> � <br /> � <br /> � <br /> I BACKWATER VALVE AUT}iORIZATIOIV ; <br /> II. Permission to InsoecL The Owner graNs permission tn the City and ils contracbr to i <br /> I inspect the plumbing and drainage of the Owner's properry for the purpose of gathcring i <br /> I infnrmatinn regarding whether a backwater valve sho�dd bc inslalled. The City and i <br /> Owncr will cooperatc to dctermine a tnutually agrceahlc timc fo: the inspcclion. The <br /> inspcetion is xt thc City's sale cosL � <br /> 1.. Backwatcr Vah-c. : <br /> A. Citv Review of I�ection �md Permission lo Inslall 13ack��ater Valve. The Cily � <br /> will rcvicw the rcsults of thc inspcction and will dctcnninc whcthcr a backwatcr <br /> valvc should be installcd. By signing this authoriration, thc Owncr grants thc <br /> ( Cily and ils conli�icWr permissiun lu insl�ll thc b�ickwater valve if ihe City <br /> dctcnnincs lhat a backwatcr valvc should bc installcd. 'fhis installation is at thc ! <br /> City's sole cost. <br /> B. Other Devices. 'fhere may be other devices that provide as gocxl as (or greater) <br /> �I protcction than a backwater wilve. Ry signing this au�horizalion, the 0lvncr <br /> grants thc City and its contrnctur permission to install thc olhcr dcvicc if thc City <br /> i dctermines thal it shnuld bc installcd. This installalion is al the City's solc rnst I <br /> i Flo��cvcr, if thc Owner dcsires installation of thc othcr dcvicc, but lhc Cily hus <br /> Idetermincd ro onl}•insiall a back�vater valve, then the Owncr may install the other I <br /> I device, ancl the Cily wiU reimburse the Owncr up to the installalion cost of thc ` <br /> back�vater valve. � <br /> C. fuu�re Maintenance. Upon installation,the backwatu valve or other device is the I <br /> O�tmer's properly. 7'he Owner is exclusivcly respnnsiMc lu mainlain il. ; <br /> � <br /> 3. Othcr RccummenAed Imnrovemcnts. ARer the completion of Ihe inspection, the City i <br /> may providc ihe O�mcr with a lisl ol'uther rccommended impruvcmenls to thc properly's <br /> plumbing ond drainagc systems. The Owner is responsible ti>r determining whether to I <br /> implcmcnt Ihc rccommcndatians on dw lisl:md for paying for thc implcmcnlation. i <br /> OWIVCR: � <br /> i -��L�"'a=- -- -- _----- _— I <br /> � <br /> � S gnatu c: Signalurc: <br /> � n ' <br /> l �-[l'1.�N`1.��_��C_IJ_ — _ <br /> J Pnnlcd�'ame: Printed Name: <br /> II �� <br /> t ��/O �}i...l���t�f FyP1�.JI <br /> � PriNcd Address: <br /> R�"�0 1 <br /> � <br /> i <br /> � <br /> � <br /> � _ . . I <br />