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BACKWATER VALVE AUTHORIZATION <br /> 1. Pertnission to Insnect. The O�mer grants pennission �o the City and its contractor to <br /> inspectthe plumbing and drainage ofthc Owner's property for the purpose of gathering <br /> information regarding whelhcr a backweter valvc should be installed. "The City and <br /> Owner w:ll cooperate to determine a muwally agrecable time (or the inspection. The <br /> inspeclion is at thc City's sole cos�. <br /> 2. Aackwater Valve. <br /> A. Citv Review oFlnsoection and Pcrmission to Install Backwater Val��e. The Ciry <br /> will review thc rcsults of ihe inspection and will detemiine whether a back�vater <br /> valve should be installed. Dy signing this authori�a�ion, the O�mer grnnls the <br /> Cily �nd its contractor pemiission to inslall the backwater valve if the Ciiy <br /> detcrmines that a backwaier valve should be installed. This installation is at ihe <br /> City's solc cost. <br /> [3. Othcr f�cvices. There may be othcr de��ices that provide as good at (or greater) <br /> pro�ection than a back�vater valve. By signing this authori7ation, the O��mer <br /> gran�s the Ciry and its comractor pertnission to install the other device if thc City <br /> determines that il should be installed. This installation is nl the Cily's solc cost. <br /> Ho�ti�cv:r, if the Owner desires installnlion of the other device, but lhe City has <br /> dctermined to only install a backwater valve, Ihen thc Oµ�ner may install the other <br /> device, and the Ciry µ�ill reimbursc Ihe Owncr up io Ihc installation cost of the <br /> backwater valvc. <br /> C. Future Maintenance. Upon installation, the backwater valve or other device is the <br /> O�mer's property. Thc O�mer is exclusivcly responsible lo maintain it. <br /> 3. Other Recommend�d Imoro��ements. After the completion of the inspection, the City <br /> may provide the O��mer�t�iih a lis� of oUicr rccommendeJ improvements to the property's <br /> plumbing and drainagc systcros. Thc Owner is responsiblc for detcrmining whether to <br /> implcment�he rccommendations on the list and for paying for Ihe implementation. <br /> 01VNER: <br /> �/L/��/� <br /> S�gnaturc: Signature: <br /> / ��e L <br /> f'rintcd Na Printcd Neme: - <br /> 1�15" / u e%.r- �r� , <br /> Printcd Addrcss: <br />