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I3ACK1�'ATI�;R `�ALVG nUTIIORI"LA770N <br /> 1 . Pcnnissiun lu InspccL 'I�hc O�vncr grunls permission to lhc City and its contructor tu <br /> incpcc� thc plumbing and dtainagc nf Ihc O�vncr's property for thc pwposc of gathering <br /> inibrmation icgarding �vheihcr a hackwatcr ��al�e shoidd hc installed. 'fhe City and <br /> Uwncr will cuuperatc lo dctcrminc ai mutut+l!)' .igrccablc Umc (i,r the inspcc�ion. 'I�hc <br /> inspcction is at thc City's solc cost. <br /> ? �i��ck�vatcr Val��c, <br /> 1. Cirv Rcvicw o1 InsPcction and I'crmission tu Instalt 13;�c1:���atcr 1'alvc. fhc Cily <br /> �vill rcvie��� the results of the inspection and will detennine whethcr a hackwalcr <br /> calvc should hc iifstallcd. Ij�• signing this auihoriraiion, the Owncr grants Ihc <br /> Ci(�' and il> cuntraclor �crinissiun lo inslall ihc Uuck«atcr ��alvc if lhe Cil�, <br /> dctcrmincs ihat a bacl:wntcr ��.d���� shuidJ bc instalieil. 'fhis installatinn is t�t tlic <br /> Citv�s sulc cost. <br /> Ii. Othc r_Ucviccs. 'I'hcrc may bc othcr dcviccs t!�nt providc as goad as (ur grcatcrl <br /> {�iutection than a back���a�cr v,dve. 13y signing this a�uhoriration, �he O�vner <br /> �r,mis thc City and its conlractor permission tu install thc othcr dcvicc if thc Ciq� <br /> de'ennincs that il should be installed. 'I'his ir,stallation is nI the City's solc cost. <br /> lio�vc�cr. if Ihc O�vncr dcsires installation of lhc uthcr dcvicc, birt the City has <br /> dccnnincd iu only inst�tll � b�icl<���trtcr��alvc, thcn Ihc Owncr may install Ihc othcr <br /> dc��icc, ;ind ihc City �+ill rrimhinse the Ou-ner up lo the inslallntion cost of thc <br /> back«:uer vah�e. <br /> C. Puture �lainlenanc�_. Upon inslallation, lhe backwuter �'ah�e or other de�-ice is Ute <br /> O�cncr's pcopert}'. 7'hc C)�+'ncr is exclusi��cly responsiblc lo maint:�in it. <br /> �. Ulhcr_Rcccnnmcndcd Impruecmcnls. Aftcr Uic cumplclion uf ihc inspcction, Ihc Cih <br /> ma�� providc Ihe O�vner ���ith n list of other recummended improccments tn lhe pmperty's <br /> �,lumhinr �md druin:�t�c syslcros. �I�hc l)�vncr is respunsiblc ILi dctrrmining whcthcr to <br /> iinplcmcnl Ihr rrcnnuncn�lalinus�in Ihc li�l ;ind lirr ���yinc, t�ir �hc implcmcnla�inn <br /> I)� It• <br /> _���v - ----- — _ _ ---- - <br /> tii�,nalurc: tiiuiu:tiu�c: <br /> �-h�cc�Ch�_ --- <br /> I'rinicd n,imc I'rintcu "!:mic: <br /> �y �a__Ilo.�} ��- E�,s�{� uF� qb'� I <br /> !'rin�ccl Addrtss: <br /> ,%%� <br /> ..: ., <br />