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� 13ACK�VATER VALVB AU'I'HORT7.ATION <br /> I. Pennission to Inspect. "I7�c U�vner grants permission to Ihe Cilp and its cuntroclur iu <br /> ' inspect thc plumhing and drainagc of thc O�ancr's property for Ihc purpow uf gathcring <br /> infiumation rcgardinc ��hcihcr a bacl<watcr valvc slwuld bc instalicd. "Ihe City and <br /> � Owncr �vill cooperaic to dcicrminc a mwually agrccable timc for thc inspcction. llic <br /> iinspcction is at the City's solc u�st. <br /> � 2. f3ack�vatu Valvc. <br /> IA. Cilyl2c��ic��' qf_Insocclian nnd 1'crmission lo Inslall Racl:�v,�tcr Valvc. 'Ihe Ci�y <br /> ' tvill rcvicw Ihc tcs�dts of lhc inspcction and �vill dctcnninc tvhcihcr a hack�va�cr <br /> valvc should bc instalicd. f3y signing lhis aulhorizalion, the Owncr 6m.+nts thc <br /> Ciry and its contraclor pcnnission to instaU thc backo�alcr val��c if thc City <br /> detemiines that a backwalcr valvc should be installed. 'I'hi, inst��llation is al the <br /> �'.IlV�S SOIC COSI. <br /> 13. Other Dcvices. 'fhero may be other devices thnl pro��idc as goud as (or grculer) <br /> protcclion lhan � bacl<walcr calvc. By signing this authoriration, thc Owncr <br /> gr�nis thc City�nd its contractor pcnnission ro ins�ali thc othcr deeicc if thc City <br /> dcicrmines diat il shuuld be installed. 'I'his iuslullalion is at thc Ciry's solc cost. <br /> lio�revcr, if the Owner desires installa[ion nf Ihe nlher dcvicc, bnt lhe Cily has <br /> dcicrmined to only install a h:ickwater val��c, then Ihe Owner may inslxll lhc othu <br /> i dcvicc, and the Cily will reintbursc Ihc Owncr up to thc ins�allation cost of thc <br /> hnckwater vah�e. <br /> C. Puture\laintqnancc. Upnn installation, Ihc bad;�oatcr valv; or othcr dcvicc is thc <br /> Owncr's property. 7'he O�ener is cxclusively responsiblc to maintaiu it. <br /> 1. 011�cr Rccommcndccl Jmprovcn�cn�s. Allcr Ihc cumplction of lhc inspcclion, lhc Cil�� <br /> may providc thc Owncr n ith a list of othcr rccommcnAcA impmvcmcnts to Ihc property's <br /> � �)I11171I11IIL, :ifl[I CII'81f18SU Sy5lCillti. �I�IIC O�vncr is responsibic �iir dGcnnining whethcr lo <br /> implancnt Ihc rccommcndations on Ihc lisl and ILr pnying Ibr dic implcmcntation. <br /> c�WNrti: <br /> —��—��.�.�C'�-`- — <br /> Signature: tiignature: <br /> �� � ! <br /> -{5-o����G�1- - <br /> Prmlcd Narnc: I'rintcd Nmuc: <br /> % � f 2�. ! ��'k^ctC� _ � (� ���Gr� 1 � ( �,�C� -J <br /> Prinled Address: <br />