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BACKWATI:R VALVE AUTHOi�[ZATION <br /> I. Permission lo In�ect. 'fhe O�aner grants pennission b the City and its contractor to <br /> inspcct the plwnbing and drainage of the Uwner's property for the pur��ose of�gathering <br /> infomiation regarding whether a back�vater valve should he installed. The Citv and <br /> Ov�ner ��;ll couperatc to determine a mutually agrccablc timc for the inspcction, Thc <br /> inspcc�ion is at thc Citv's sule cost. <br /> 2. 13ack�l�atcr V;�1vc. <br /> A. Cilv Revicw c�f Insncction and Pc�mission to Install I;ack��-a�cr Valve. Thc Cih• <br /> ���ill review thc rosults of lhc inspectim� snul �vil� a"�cnninc �vhethcr a b�ck���ater <br /> vah�e should he installed. By signing ,hi� autl niz,vion, thc O��•ner grams �he <br /> City and its contractor perniission tu . di the back«�ater ��al��e if the City <br /> drtertnines that-a b;�ck�vatcr val��c should hc instolicd. 'Ihis inst�llation is :�t ihc <br /> City's solc cost. <br /> 13. Other Devices. l'here m.q� be other dcvices Ihat providc �s goocl as (or greatcr) <br /> protcction than a back�valcr valvc. I3y signing this aulhorization, the O�rncr <br /> grants thc City and its contractor pcmiission to install ihc oUicr devicc if thc City <br /> determines that it should be installed. 'Ihis installation is at the Cit>>'s sole cost. <br /> Howcvcr, if thc O�+7ier desires installation of lhe other device, but the Citv has <br /> de�ennined to only install a back�eater ��alve, then �he O���ncr ma}� install the other <br /> de��ice, and the Cih• will reintburse en� o«��,«� ��p io d,� ;,,�ilii�uo�, �osc or�tn� <br /> back���ater val�•c. <br /> C. Fuiurc Maintenance. Upon installation, the backwater val��c or olher device is thc <br /> O���ncr•s n�ou«,��. �ri�� rn��,�, ;s�.�i�,��,�iy responsihlc to maintain it. <br /> 3. Othcr Recammcndcd Improvcmcnts. Alter thc complction of Ihc inspcclion, thc City <br /> ma1' pru��idc thc O��•ncr �vi1h a list of othcr recommcndcd improvcmcnts io tl�e propertys <br /> plumbing :�nd drainagc systems. The Ownrr is rosponsible for detcrtnining whether tu <br /> implemcnt Ihc recommenda�ions on thc list and for p;iylOb' PPf IIlC III1�)ICIIIL`Ill.ui n. <br /> O VNER: <br /> l�� /J� �/ � r <br /> U �11'1,l� � �7i �- �',�sc,�B <br /> i G�uurc: � —� — �. <br /> . � Sirnnlurc <br /> �' �I'r�. �d�l-eau� A-�� ��1�� �1��ea� _ <br /> �nted vamc: Prit�d i�amc: <br /> 2�aa �'o�,�-�cllf-r' /�v-�_��.�/ <br /> Printcd Address: <br /> T�-� 3 <br />