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H��t.�:�vt�����a v��,vL Av�r�oxtr,a�rioni <br /> 1. Pe�mission m In�nect. The O�rncr grants pemiission to the City and iis coutractor �o <br /> iuspect tlie plumbin� and drainagc of Qie Owner's property for thc purposc of gathcring <br /> infonnatiou regarding whether a backwater valve should be installed. l'he City and <br /> Owner ���ill cooperat� to determine a mutually agrecable time frn the insucction. The <br /> inspection is a[thc City's solc cest. <br /> 2. Backwater Valve. <br /> A. C'ity Revicw of Insn�ction and Pcnr.istiion to lnst:�ll Haclaratcr �'rh�c. '1'hc Ciq, <br /> will rcvicw tlie results of the inspection nnd �vill detennine whcthe; a backwatcr <br /> valve should bc insmllcd. Tiy siEninr, Ihis autliorization, �hc O«zier grants the <br /> City and its contractor permission ta inetall thc hackwater valvc if the City <br /> determi�ics that a backwater v:ilve sl:ould he inst:illcd. This insl:dlation is at the <br /> City's sole cost. <br /> I3. Other Dcvices. Thcre msy be other dcvices diat p�rrvide as @ood zs (or grcater) <br /> protec[iou tlian a Uaclacater valvc. By signing tlus authorization, the Owner <br /> grvus die City and its contractor pennission to install ihe other device if Ute City <br /> deterniines diat it should be installed. Tlus uistallation is at thc City's sole cost. <br /> llowevcr, if thc Onmer desires inst.dlatiun oC thc other device, but ihe City has <br /> ' deterniined to only i�istall a back�vater valvc, then the O�mer may install thc oti�cr <br /> device, and the City �vill reimburse the O�Nier up to ihc installation cost of the <br /> back�vatcr valve. <br /> I <br /> � C. Future vlaintcnance. Upon u�stallatiun, the back�+�uter��alve or other device is thc <br /> I O���ncr's property. The U��mer is exclusively responsible to maintain i!. <br /> I <br /> i3. nUier Reconunended ]ronrovements. Afjer �he completion of the inspection, the City <br /> , may providc tl�i:O�v��er ���ith a list oi othcr rcconuncndcd improvcmcnis to thc property's <br /> i plumbin� and drainage systems. l�he Owner is respousil,lc for detcrniining ��'hether to <br /> intpleme»t the reconunend:itious o�� the list and for pa��ing for t�u implementatiou. <br /> i <br /> �� ���� — --- <br /> ; � <br /> �� � <br /> �` � I�IJ (! �C��� J - —__' <br /> � �Signah�rc: � � — Signntura: <br /> I <br /> C�ic ' e.- �-# — ----- <br /> ,� ��_I�e�� . v�.-.- <br /> Yrinted Namr. � Printcd Name: <br /> ; ��j�������� -��_�� -- <br /> ����,t�d naa��55: <br />