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i <br /> BACKWATER VALVE AUTHORIZATION <br /> 1. Pamission m insoect. The Owner �u permissian to t3�a City and its contraUor W <br /> inspect the plumbing end d�ainage:of the Owner's p�opaty for the pwpose of getheting <br /> inform�on regerding whether e backwehr valve should be msfalled. 'Ibe City end <br /> Oovner wip coopereta W detaminc a mutually agreeable cime Eor the inspoMion. '[be <br /> mspedion a et the City's sole cost <br /> 2. Beckwetor Yalva. <br /> A, �i y Review o�@cction end Pemusaion to LisWl Beckwnter Vn�v . 'lbe Ciry <br /> will review the results of tte inspection end wi0 detem�ine wtiaher e berkweter <br /> valve should be installed. By signing chis euthor'vetion, tha Owuer grants ffie <br /> City end iu_coneactor peemission to iestell tl�e backweter valve,�t}�e Ctity __ . <br /> � dctermiaes lhat a beckwahr valve s�ould be installcd. This iattellrtion 3s et tbe <br /> City's sole cost <br /> B. Other povices. Thete msy be other devices th�t provide ss good as (or g�ealv) <br /> protcetion then a beckweter valve. By signing this.auth,ormtioa, the Owner <br /> grmts the Ctty end its contractor pemtission m insiell the otha device if the City <br /> detcmines that it should be instelled. Thi+insmllation is et the City's sole cost. <br /> Howevcr, if the Owner desiies msWletion of t�e otha device, but tne City hsa <br /> detamined to only iaafall a backweter vdvq t6ea tae Uvner mey msull the other <br /> devix, md the City will reimbursc the Owner up to tLe installafion cost of Hw <br /> backwatrr valva. <br /> C. Future Mainunena. Upon installetiou,the backwata valve or other devia is tlu <br /> Ovmv's property. The Uwcr is exclnsively responsble to msinfein it. <br /> 3. Other Recomm�ded—Imvrovemeats. After tl�e completion af the iaspection, the City <br /> may provid. thc Owncr with e list of other recommeaded'unpmvements to the propaty's <br /> plumbing and drainege systaas. 'Ibe Ownc is responsible ffir d�tecmining whethcr to <br /> implement the mcommendations on the list md Cor paying for the implc.ne�tion. <br /> OWNER: <br /> �m� � �.��,� <br /> s;��: ��- <br /> c^,��.,a�� v. c-0►w e�� �-0\w� 1 1 <br /> Printed Nemc: Prmted N� e:� <br /> �p� ` wy,`C'�'Ph �(2• <br /> Ptintcd Addcrss: W `n q g� ' <br /> ��r-e-r� , `�'T � <br />