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i <br /> In( `�' v�LI v�r <br /> � ' � N�v � s zoi3 �D <br /> � BACKWA7'ER VALVF, AUI7IORIZA7'IONpU13�iC W � <br /> �RK,S <br /> I. Pemiicsion lo Insnect. 'I'hc Owncr grants perrnissiun to Uie City mid its coutraclor to <br /> inspcet thc plumbing and drain�igc oC thc Owucr's property for Oic puqiose of ga[hcring <br /> information rcgarding �vhclhcr a backwalcr valvc should bc inst.dlcd. '1'hc City and <br /> Owner will cooperate lo dctennine :i muluxlly agreeable �ime (i�r the inspection. 'I'hc <br /> inspcelion is nt thc City's solc cost. j <br /> i <br /> 2. Eiackwatcr Valvc. ' <br /> — <br /> n. Ci��cy_ic�v nf Ins1�ection anJ Pcrmission to Install I�aci��vatcr��alvc. 'I'hc Ciq� ' <br /> �vill rcvicw Ihc resulls of the inspcctim� anJ will dctcrminc whcthcr a bacicwalcr <br /> valve shnuld be installcd. 11y signing �his aulhoriiation, lhe Owner grants thc <br /> i Cit}' �nd iis contr;iclor permission to insinll thc bacL���atcr vnlvc if thc Cily <br /> determines �hat a b;+cl:watcr valvc should be instnlled. 'I'his installation is �d Ute <br /> City's solc cosL <br /> 13. Uther Dev_ices. 'I'here may be o0�er dcviccs tha[ prnvide as good :is (or grcaier) <br /> protcction Ihan a haclavxlcr valvc. Liy signing this authuriz+dion, thc U�vncr i <br /> granls thc City and its conlrac�nr permission tn install thc other dcvicc if lhc Cily <br /> dctcrmincs tl�at it should bc inst�licd. 'fhis inslallation is nt thc City's solc cost. <br /> Hu�vever, if lhe Ot��ner desires inslalla�ion of thc other devicc, but [hc City has <br /> ' dctcnnincd to only install a hack�vatcr��alve,lhen the O��'ner mtry inslall Ihe otlwr <br /> � device, and the Ciq� �+�ill rcimbtuse (hc Owncr up to Ihc installalion cost of thc <br /> � hackwatcr valvc. <br /> I <br /> � C. I�uturc Maintcnance. Upon inslallation, the backw�ler�mlve or other dcvice is the <br /> � O�c�cr's property. �fhc O�cncr is cxr,lusivcly responsihlc to maintain it. <br /> , 3. Othcr ltc��ommcndcd Inv�rovcmcnts. Aflcr thc complction ut�thc inspcclion, the City <br /> �� ma�'pro��idc thc Owner c dli a list of odicr rccununendcd improvuncnls tu flie property's <br /> I plumbi.ig and drnin:igc systcros. 'I'hc O�vncr is rospnnsihlc fitt dctermining whclhcr to <br /> � implcmcnt Ilic rccommcndalions on thc list ancl for p�ying fur thc implcmcnt.dion. <br /> i I <br /> 0�1'N ?R: � � �t. <br /> �� ' � i � � �' �L� <br /> ' //�i���er.����.t��- �,: �_n �� .�� _ -�1�1,nA� :;, r,,: �, <br /> Si naturc: —�--- � $'gn��lurc: <br /> � / � ��� <br /> � <br /> � i'���6z�' �oo,������ — <br /> Prin!cd Nnmc: �— PrinteJ N;unc: I <br /> � n � <br /> S�j ,�/'o/fQli/� J/C ---- — <br /> Prinred AdJress: / ^ i <br /> /4 CD/f�/i��"Z i��.f1, ���5� <br /> � '1 �:� �? �� C'Cy � � <br />