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� ;-:,,�=, ,; � L,�►����� � <br /> .;;,,;�;,j� <br /> ; _ n 1I ' L� <br /> � <br /> • '' `'•�� i 2 1013 <br /> � BACKWATGR VALVC AUTHORI7.ATION <br /> ; : :� :.!_,la" ;r+'�4�fi���s <br /> ' I. Pcnnission tJ �I151��ct. "I he Owner granis permissinn tu the City and its conU:� . ni`i i <br /> � inspcct thc plumbing and draiaagc of thc O�encr's prupeiiy for thc purpusc of oalhcring <br /> information rcgarding whether a bad:wa[er vah�r shoulcl be inst;illed. The Ciry and <br /> O�vner ��ill cooperatc ro detennine a mumally agrecable time for U�e inspection. The <br /> � inspcction is al thc City's sole cosi. <br /> { 2. fiacl«<•atcr Valvc. <br /> k I <br /> � q, Ci�y Iteview of In��caion and Pcnnission to lnstall ItackH�atcr Valvc. T'he City <br /> will re��icw the results o(the inspation and �vill ditermine whcdier a baclavatcr I <br /> � valvc shoidd bc installcd. Dy Signing Uiis nuthorization, Ihc Owncr granls thc i <br /> � Cit� :md i�s convactor pcnnission W instnll thc b�cl:«�atcr vaivc if thc City <br /> , dClcYn7inC, 1b11 2��cict�•uter .al�� �ItGU1�1 l',.; i�..::dizt:. TLi. ir.;:�!!:;i:,:. . ... .... <br /> Ciry's solc cost. � <br /> 13. O�her Dc�ices. Thcrc n,ay be otl,cr deviccs �hai pro��ir,e �s 000d �s (or grcatcr) <br /> � protcction than ai I78CI(\4'8ll'1' \':II\'l. I3}� signing this authori'tntion, Ihc O�vner <br /> grants thc City and i�s conu:�ctor pennission to install tlic olhcr dcvicc if thc City I <br /> i dctcnnincs that it should he installcd. This ins�allation is �t Ihc City's solc cost. <br /> ' Ho�cever, if the O�vner desires insl�ll.tion of the olher de��ice, bul Ihe Cily has j i <br /> dctermincd to only install a b�cl:�vater��alce, Ihen thc O�vncr ma)' inslall lhc ulhci ; I <br /> � device, and thc City will �eimhwsc the Ow,ner up lo the installanun cos� uf ihe <br /> � bacicwater vahc. <br /> I C. Puun'e M:iintenance. Upen inslnllation, thc backwaler valve or:�thcr device is thc � <br /> ; p���ncr's property. ,'hc Owncr is cxclusi��cly resp��nsi�lc to mainlam it. <br /> C <br /> ' 3. Other Rccommended Im .iovemcnls. Atter thc contpletion of Ihe inspalion, thc Cily <br /> �� mny pro��idc�hc Owncr���tth a list of othcr rccommcndcd improvcmcnts lo thc propert��'s , <br /> � plwnbing ;ind drainage syztcros. fhe O�vner is icsprnisible for dcicrmining whether to � <br /> �j implcmcnt thc rcconuncnd:aions on dic list ;mJ for p:ry'ing (or Ihc implcmcNalion. <br /> i 011'.Nl':R• <br /> � � <br /> i <br /> �' ---- - - _ - -- - - - <br /> ;1 Si�,n��turc: - -- - �i �ttnc <br /> :; <br /> l! �Yl� � ' <br /> i ����c��_���5-!''�- rin �,`t Naln� --�Q- i <br /> ti Prinred Namc: � <br /> ' � . .. . ... ., .. . � <br /> �� L�Z�� ���G � ., . .. . . , , .,: ; <br /> '! Prmted Address: . � , <br /> ! . . . • . � <br /> � . � • . .. , . �:: � , . � <br /> I . . . . . . . <br /> i <br /> i � <br /> � <br /> � I <br /> '' I <br />