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13ACKWA'I'I:R VALVE AU7'1IORIZATIaN <br /> I. Pcnnission to Inspcct. "I'hc O�vncr grants pctmission lo the Cily and its conlractor to <br /> inspcct thc plumhing and drainagc of thc O�vner's properry far thc purpose of gathcring <br /> infonnation regarding whclhcr a bacl;��'ntcr valve should be installcd. 'I'hc City and <br /> Orvner will cnoperate lo determine a nttitually �igreeahle time for the inspection. "1'hc <br /> inspeclion is ut lhu City's solc cosl. <br /> 2. Aackwatcr Vah�c. <br /> A. Citv Reeicw of Inspecti�n �nd Permission to Install Backwuter Viilve. The City <br /> a�ill �zvie�v thc results of�he inspection :md will detennine ���hether a hackwater <br /> valvc should bc installcd. By signing this authoriz��tion, dic Owncr grants lhe <br /> Cih• and its contra�tur permission ro ins�all �hc backwatcr vahc iP Ilie Ci[} <br /> dcicrmincs that a backwatcr ��alvc should bc installed. 'I'his ins�allation is ai thc <br /> Ci�y's sole cosL <br /> B. Otttcr Dcviics. 'fhcrc muy bc oWrr dcviccs that providc as good as (or grcalcr) <br /> prolection tha» a backwater vah-c. 13y signing this authorization, the Uwner <br /> granls the City anJ ils contraclor permissiun to install Ihe other devicc if the City <br /> dclermines that it should bc installed. 'I'his inslallation is at thc City's solc cust. <br /> I lowcvcr, if thu O�oner dcsires installntinn of the uther Jcvice, but the Ci�y h.is <br /> detemiined io only install a hack�ti�ater valve, then the Oa�ner may install thc othcr <br /> dcvicc, and the City will rcimbursc thc Owncr up lu thc instulltttion cost of Ihc <br /> hach�ealer valvc. <br /> C. Ptdurc �taintcnancc. IJpmi instnllnlion, thc backwatcr vah�c or nthcr dceicc is Ihc <br /> Owucr's property. The Owner is cxclusi��cly responsible to mainlain it. <br /> 3. Other Rccnmmcnded Im�ruvcmenLc. Aftcr thc completion of tbe inspection, Ihe City <br /> 1118)' 7I'UVI�C LI1C O�Vfll'f 15'IIIl a lisl of other recommcndcd impro��eu;ruls to the propert}''s . <br /> plumbing �nd ilrainaee systems. 'fhe (lwner is respnnsible for detennining whclher to <br /> implcmcnt thc rccommcnd;uiuns on thc list nnJ lur payiug fur thc iinplcmcnt:ilion. <br /> 0�1'VI'sR: <br /> — — — -- - — — --- -- <br /> tii��ialure: Si�;natnrc: <br /> Prin�cd Numc: Printed N;imc-- <br /> Prinlcd Address: -- — - <br /> � <br /> I <br /> /i� ` , <br /> � ' ' '' <br /> �,� . / <br />