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3631 LOMBARD AVE 2022-05-02
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3631 LOMBARD AVE 2022-05-02
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Last modified
5/2/2022 2:34:43 PM
Creation date
5/2/2022 2:21:54 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
3631
Notes
BACKWATER VALVE
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2. <br />I3ACKWA'1'ER VALVL AUTFIOI2IZATION <br />Pennission to Inspect The O�vner grants permission to the City and its conhactor to <br />inspectthe plinnbing and drainage of die Ownei's property forthe purpose of @athering <br />infomiation rcgazding wlielher a backwater valve should be installed. The City and <br />Owner wili cooperatc to dctc�mine a muh�ally abreeable time for thc i�isp::ction. Tlic <br />inspection is at the City's sole cust. <br />Backwater Vah�c. <br />A. CiR� Review of Insvecliou and Permission to Install Backwater Valae. The City <br />will revicw thc results of tbe inspection :uid �i�ill determine whether a baclavatc: <br />valve should be installed. By signing this authorization, the Owner gr�its tlic <br />City and its conlractor permission to install U�e backwater valve if <br />deteimines that a <br />City's sole cost. <br />backwater valve should he installed. Tlus installation <br />the City <br />is at the <br />B. Odier Deviccs. There may be other devices that provide as good as (or greater) <br />protection than a backwatcr vah�e. l3y signing ttvs authorization, the O��mcr <br />grants the City and its contractor pem�ission to install the othcr device if il�e City <br />detcimines that it should be installed. This insfallation is at tl�e City's sole cost. <br />However, if the OH'ner dcsires installation of t6e other device, Uut Qie City l��.s <br />determined to only install a backwater valve, tlien Uie Owver may install die other <br />devicc, and the City will reimburse tlie O�vner �.�p to thc installation cost of the <br />backwater valve. <br />C. Puture Maintenance. Upon installa:ion, the backwater valve or otlier device is the <br />Owner's property. The O�mer is exclusi•: cly responsible to maintaiu it. <br />3. Other Kecommended Improvements. Atler the completion of thc inspection, the City <br />may provi�le the O�mer will� a list of other recommevdcd improvcmciits to thc property's <br />plumbing and drainagc systems. 'The O»mcr is responsiUle for determiiung whether to <br />implement the recommendatioi�s on the list and for paying for Ilie iinplementation. <br />O\i'N�R: <br />,1�C�i'U��ll���' � �'�� -f--- <br />Signatur : Signature: <br />� �, C �-���'�� - <br />Printed Namc� <br />� �,��� �.��`�t�,�iU(C��J <br />� �D_� , � __ t��� �� � �; <br />Yrinled Address: <br />�0( m o��S `� �� � <br />`;,� sl �� }'��j/f� <br />� � : L� ,.1:''Ct .' ! o/� <br />Yrinted Name: — — <br />/� <br />
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