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I3ACKWA'TI�,R VALV� AU1'HORI7.AT[ON <br />Pcrmission tn Ir.sncct. "I'hc Q�cner grants permission tn the City and its contractor to <br />inspectthe plumbing and drainage ofthe (hancr's property fur thc purpose oF gathering <br />infi�rmation regarding �vhcthcr a backwatcr val�•c should be installed. 'fhe City and <br />Owncr a�ill cooperate to deteimine a muwally agrccaMc time for ihe inspection. '1'he <br />inspcction is at the City's sole cost. <br />Hack�vntcr Valvc, <br />A• :.'itv Rcview of ]nsncclion and I'crmission to InstIIIl R�CI�'WB�E'f V:IIVI'. I I1L' CI[V <br />will re��ictv the results of the inspection :md µ�ill determinc �i�hethcr u hackwater <br />c:�h-c should be installcd. $y signing this authorization, thc Owncr grmLs thc <br />City and its contractor pe:mission to install the backwalcr valvc if the City <br />detemiines thxt a hackn-afcr ��al��e shnidd he inslalled. This installatioii is ut the <br />City's solc cos�. <br />I3. Other llovices. There may he othcr devices t}iat provide as good as (or greater) <br />proteclion thmi a backwater ealve. By signing this authoriTation; the 0��ner <br />grants thc City an�? itv con[ractor pcnnissiou to install �he olher device if the City <br />dctcrmines �hat it ;hould be inslallcd. 7'his installation is at Ihe City's solr. cost. <br />Iln�tiever, if the Owner desires installation of the othcr device, but the Cip� hns <br />dctermined to onlv install a backwater vah•e, tlien the Owncr may install tY:e othcr <br />Jcvicc, and thc City �cill rcimburse ihc ( hvner up tu the installniiun cnst af the <br />back�+�ater val�•e. <br />C. Pu�ure A4aintenuncc. Upon �nstnllaucn. tlic hackwuter ��ulve or ather dcvice is �hc <br />O�vncr's properry. 'I'lic O�vner is cxdusit�cly responsible to tnuinCiin it. <br />3. Other Recommcnded Impmvemcnts, Aper the cotnpiction of the iitspection, die Ciry <br />may providc thc O��nrr with n list of othcr recommcndcd improvcments to thc property's <br />plumbing +md Jrainagc sysicros. 'fhc Uu�ncr is resE;unsiblc for dctcrmining whcthcr t�� <br />implemcnt ll�c ncommcnd�tions on thc list and for paying for thc implcmcnlation. <br />OWNI�;R: <br />.. j �J l�-�__ <br />�—'�-- - _'_ <br />SI�Il�liir �; - ��y� <br />_ <br />�� <br />�n � . ,, _!Ja 4 _S ��, <br />�� Printcd N.imc: <br />%� ` 1-�h`l�- �/�i:E i i <br />_- -•- � -- - - <br />Printcd Address: <br />� I- I`�� — <br />-�-- � <br />SI�1 l �: <br />21�X i L V11�1 �(�f' <br />Yrintcd Name: � - <br />