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BACKWATER VALVE AUTHORIZATION <br />Permission to Insocct. The Owner grants pennission to the City and its contractor to <br />inspect the plumbing and drainage of the Owner's property for the purpose of gathering <br />information regarding whether a backwater valve should be installed. The City and <br />Owner will cooperate to determine a mutually agreeable time for the inspection. The <br />inspection is at the City's sole cost. <br />2. lackwaier Valve. <br />A. City Revicw of Inspection and Permission to Install Backwater Valve. The City <br />will review the results of the inspection and will determine whether a backwater <br />valve should be installed. By signing this authorisation, the Owner grants the <br />City and its contractor permission to install the backwater valve if the City <br />determines that a backwater calve should be installed. This installation is at the <br />City's sole cost. <br />B. Other Devices. There may be other devices that provide as good as (or greater) <br />protection than a backwater valve. 13%, signing this authorization, the Owner <br />grants the City and its contractor pennnission to install the other device if the City <br />determines that it should be installed. This installation is at the City's sole cost. <br />However, if the Owner desires installation of the other device, but the City has <br />determined to only install a backwater valve, then the Owncr may install the other <br />device, and the City will reimburse the ONvncr up to the installation cost of the <br />backwater valve. <br />C. Future Nlaintenmmce. Upon installation, the backwater valve or other device is the <br />Owner's properly. The Owner is exclusively responsible to maintain it. <br />3. Other Recon mended Improvements. After the completion of the inspection, the City <br />may provide the Owner with a list of other reconmmended inmprovenmcnts to the property's <br />Plumbing and drainage systems. The Owner is responsible for determining whether to <br />implement the recommendations on the list and for paying for the implementation. <br />W%U: — <br />Signature: <br />1,st n L ewrhJot✓51jt <br />Printed Name: <br />Signature: <br />i <br />LeWgviAt? ljI <br />4l ante: <br />z 1 z 6 ul4ln j s i' Ev?A-t Yt- W II, k �ZO <br />printed Address: <br />