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L. <br />BACK�i'ATGR Vr:LVF. AU'1'HnRIZATION <br />YCITIISSIOII l0 Inspecl. l�hc Owncr grants permission to thc City and its contmctor to <br />inspect thc plumbing �uid drainagc of the Owner's property for tlie purpose of gathering <br />information regarding whether a backwater valve sliould be installcd. 7hc City :md <br />OWI1C1' \YIII cooperate to dcterminc a mutually agreeablc lime for the inspcctiun. 'fhe <br />inspection is a1 the Ciry's sole cost. <br />Backwatcr Valvc. <br />A. C'iri Rcvicw of Inspcction and Pennission to lnst�+ll Rack�i���tcr V�dvc. 'Chc City <br />�vill review thc results uf thc inspectiou nnd will detcnninc whcther a back�vatcr <br />valvc slioutd bc installcd. By signing this aw�horization, the U��mcr gnmts tlic <br />Cily tutd its conlraclor permissiuu tu inst:�ll thc backwatcr vah�c if thc City <br />delermines thal a buckwatcr vidve should be instul)cd. "I'his installalion is at thc <br />Citp's sole cosl. <br />B. Othcr Dcviccs. Thcre may bc othcr dca�iccs that providc as good tis (or ercatcr) <br />protcction th�n a back���utcr valvc. I3y siguing this authorization, thc Owner <br />grunts lhc City and its convactor permission to install the othcr dc��icc if thc City <br />dctermines U�al it choulJ be insta�IcJ. "fhis installation is at thc City's snle cost. <br />Huwcvcr, if thc O�mcr dcsires installation ol thc othcr d� vice, but Ihe Cit�� has <br />detcrmined to only install a backwnter vah•c, lhen tl�e Owner may install ihe other <br />devicc, 1nd the ('ity �vill rcimburse lhe Otvncr up to lhe installation cost of ihc <br />bnckwntcr valvc. <br />C. �uturc Maintenance. iJpon installalion, the backwater ��ah�e or olher device is the <br />Owncr's properly. 'Chc Uwncr is cxclusivcly responsiblc to maintain it. <br />3. Other Kccommended hnnrovemenls. A(ter the contple�inn of lhe inspection, qic City <br />may providc lhc O���ncr ���itli ei list uf other rccommendcd impro��cmcnts to thc propeii}�'s <br />plumbing ancl driinagc systcros. "flic Owncr is responsiblc lor dctcrmining whclh�r tu <br />implcmcnt tlic rccommcndations on tlic lisl ,md ti>r payuig for lhc implcmcntation. <br />O�VNIsK: <br />�,����,.�.------- <br />,��: <br />LtJiGL��r�, Gv /-�fiucf�/ <br />Printcd Ntimc: <br />-��03 �. /���k�l�eo �1��_� <br />Printcd Address: <br />����--_ <br />s;�„�������: <br />--(1���a, t ;,��C✓�/ <br />-!� <br />Yrin[ed Namc: <br />