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BAC:KWA'CER VALVL AU1'IIORiZATION <br />Ycrniission to Ins�iect. Thc Owncr gr�nts permis�ion to thc City and its contractor to <br />inspect the plumbing and drainagc of the O�vuer's propetty fur thc pw'pose of gatUcring <br />infonnatimi regarding �+�hether u backwaicr valve shoald 6e installed. Thc City and <br />O�ti�ner �vill cooperatc to dcteiminc a mu�ually agrceable timc for thc ii�spcction. Thc <br />inspcction is at thc City's sole cost. <br />2. Liackwater Valvc. <br />A. Ciy Rc��icw of Ltspcction an<I Pennission to lnstall Rackwntcr Valvc. 'I�hc City <br />will revicw lhe resulls of thc inspection and will detemiine ���hethcr a U�icic�i�ater <br />vah�c should Uc installcd. i3y signing Ihis autl�orizalion, tl�c Owncr granis thc <br />City and its contracior permission to insfall thc back�vatcr valvc if ihe Ciry <br />determincs iliat a back�vatcr valvc shuuld hc installcd. "1'his installatiou i; al thc <br />Citv's solc cost. <br />I3. Othcr Deviccs. Therc may be other devices tha� providc as goorl as (or �rcatcr) <br />protection than a b�ckwater valve. Tly signing tltis authorization, the O�vner <br />grants thc Ciry and its contr�ctor permissimi to install the athcr dcvicc if thc City <br />detennines that it should be ins�nlled. This installation is at !he City's solc cost. <br />Ilowcvcr, il thc Uwucc dcsires installation uf thc othcr dcvicc, but thc Cit}' lias <br />dctennincd to only install a Uackwatcr vabc, Qicn tl�c Owncr may inslsll thc othcr <br />dcvicc, anJ Ihc City �aill rcimbursc thc O�vncr up to thc installation cost of thc <br />back��:llci valve. <br />C. I�uhirc Mainlenlncc. Upon inst.dlalion, the backwater valvc ur od�er device is the <br />Owner's propcdy. Thc O�vner is exclusively re;ponsible to mainlain it. <br />3, Othcr 12econuncndcd imnrov_ements. Aficr thc complction of the inspcction, the City <br />may provide the Otvncr with a list of othcr rccommcnded improvements lo Ihe properly's <br />plumbiog and drainagc systems. '1'hc n�i�icr is responsible for dc�ermi»ing whcll�cr to <br />implcnunl thc rccommcnJations on thc list and 1'or p:ryiug for tLc implcmcntation. <br />O'�1'YI� � <br />c� ` <br />� _. � ___. _ . .--- ._.. . ----- <br />Sig turc� Signature: <br />��`��a���,c� — <br />Prinlcd N�unc: Prinlcd Ntmic: <br />� �''� ��,'��lti�� _��1� <br />PrintcJAddress: �����,�,r��1 ��C��� <br />�� ���� � <br />