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2. <br />BACKWATETt VALY� AUTNORLZA,TiON <br />Pertnission m Insvect. TNe Owner grants permission to ihe City and iu contracror lo <br />inspcct the plumbing nnd drainnge nf the G'vner's pmperty for the purpose of gathering <br />infnrtnaticxi reganiing whctfier x hu:kwal.:r valvc should Ix: instalkd. 71�c City and <br />Owrn'r will coopCre(c lu dc�crtn�nc a muWelly A�ablc timc for the ins{xction. 'Ihc <br />inspection is at the City's snle cost. <br />Bnckwatcr Vnlvc. <br />A. ('itv Rwicw of insix:cuon nnd Pamission tu lnsmll Rnckwmcr Valve. 'lhe City <br />wifl review the rcsutts of the inspecticm Hnil will drirrminc w6altcr a beckwat�r <br />valve 5hould be installM. By signieE this euthorizxtioq Ihe Ownv granLv thc <br />Ciry and its conVacWr pcnnission to iro�all thc bnck�atcr valve if thc Cit}• <br />dcicrmincs �hal a buckwuler vnlve shoulA he innnlled. "I'liix installatien i5 at tht <br />Citv's sole tost. <br />R. 0�1+er Devic�;s. Therc may � �ther devicvY Ilml proviJe as g�rod av (or grenter) <br />protcction than a backwah.r valvc. By signing Nis authorizntion, thc Owner <br />panu thc City and ic� contr�cror pertnission to inuall the otfier device if the Cilv <br />dekrmincs tlmt it should be insmlled. Tliis insWllation is at thc City's sole wst. <br />Wowever, if thc Owncr d��ires insiallation of the othcr dcvice, but thc Ciry has <br />determincd to only install a backwr�cr �•alve, Ihen tl.c Owna may install thc other <br />device, and the Cit�� will reimburse the Owna uo 'o thc instellation cost of thc <br />backwater valve. <br />C. Futurc Maintcnence. Upon installation, thu backwaler valve or oll�er devite is t6e <br />OwTer's property. The Owme� is exdusivcly n�punsibk tu maintain it. <br />Other Rceammended Imorovemenlv. Aficr thc complction of the inspection, thc Ciry <br />mny pmriJc the O.��ncr wilh a lisl of othcr recommended improvcments te the ptopet}'', <br />plumbing anJ Jtainagc systems. Y1�c Qwner is re.yicrosiblc for dctcmiining whcthcr ro <br />implemmt the mcortu'n�nda�ions on thc list u�d for pu�ing tor thn impinnen�ntion. <br />����� �°�.,.� <br />s��,ac»m:,Sr"�'o,��o B,�s'�r�sr��.��1 <br />%/Z'�4,J'7�6 �H9�!'/��eso-v• <br />�AM�c�4 � �'Cs NE' <br />Printed Namc; <br />ZSU/ 1�/,QC�/�lrq Ht/E <br />Printcd Addrt�: <br />EI�E�IQL`7%�� 1+1�/� �%�20� <br />SiE{naturc: <br />:'rinlcd Numc: <br />C�� <br />2�2'd 28&91S2S2b��1 bSLT6SZ52b �WOJJ ££��I b10:-60-hbf <br />