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BACKVVATGR VALVE AUTHORIZAT[ON <br /> , 1. I!crmissioq�o Inspect. The O��roer gr�nts �7CRiL551017 tn the City and ils cnntracto� to i <br /> inspect thc �ilumbing and drainage of ihe O�vner's propeily for ihe purpnse of galhering <br /> I infomiation regarding whether a backwaler vah�e should be installed. T6c City and <br /> ' Owner will cooper�tle to dclerminc a muluall)' agrccablc time for the inspection. 'I�he <br /> ; inspcclion is �d thc City's solc cosL i <br /> i <br /> 2. Ll��ckwatcr Valvc. � <br /> A. Cfly� Reviuw_of Insncclion and Pcimission lo lnsl:ill BucL���alcr Vulvc. '1'hc Cil), <br /> i will revic�v Ihc resid�s uf�hc inspcction and will delcnnine �+•hcther a hack�vatcr <br /> valve should bc installcd. By signing this aulhoriUdion, the Owncr grants thc <br /> i City and its conlraclor pcnnission to install Ihc backwatcr vah�c if thc Cily <br /> dctemiincs ih;rt .� h�ck�vater valv� �hoald bc installed. 'll�is insiallation is al the <br /> I City's solc cost. <br /> I <br /> ; [i. Olher Ue�•ices. 7'hcre may bu olher devices that provide as good as (vr grca�cr) <br /> � protcclion than a bacl:�aater vah�c. Ry signing this aWhoriz�tion, thc O«ncr <br /> j gr.inls thc Cily and its conlmctor permission to install thc othcr devicc if the Ciry <br /> ' dctcrmincs Ihat it should bc installcd. 'I his inslallation is al thc Cily's solc cost. <br /> iliowcvcr, if thc O�vncr desires inc��llalion of [hc othcr dc��icc, hut thc City has <br /> , determined lo only install a bacl<�vater valve, then lhe Owner may install the olher <br /> I device, and the City will rcimburse the Owner up to lhe installation cost of lhc <br /> backa�atcr v.tivc. <br /> � <br /> C. Futurc Maintcna�icc. Upon iustnilation, thc backwalcr valvc or other devicc is the <br /> Owner's property. "1'hc Owner is exclusively responsibk to mainlain il. <br /> I3. nther Rcconunendcd Improvcments. Alter the completion of the inspcelion, Ihe Cily <br /> may pro��idc thc Ovmcr with .i list uf other recommcnded iniproecntcnts to Ihc propert}''s <br /> plumbing and di,�inage systcros. 'I hc Owner is respunsible for dcicimiuing whether to <br /> implemcnt Ilic rccommcndalions ou �hc lisl and Rn'p�}'ing for the implemcutation. <br /> � <br /> 0�1'NI�;R: f -- — .. � <br /> � � <br /> Signalurc: Signaiturc: <br /> I � , I <br /> ��..1�1�� _ � _ � <br /> ; 'rinted Name: ��������� Printed Namc: <br /> � � ��� �e. ��������(��I�- <br /> rintedAddress: �;�'�� � `�'!� � ' <br /> �,�._ i�i� � � <br /> , ��1.1� .�y���:;�� <br /> I • ; <br /> , i <br />