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; <br /> I <br /> i <br /> I3ACK\VATER VALVE AUTIIORIlATION ; <br /> 1. Pennission to LisuecL The Ow�ier gr.mts permission to ihe (;ity and its contractor to <br /> inspcct thc nlumbin� and drainaoc of tlic Ovmcr's property for dte purposc of gathering ; <br /> infoiniation regarding �eh�ther a hackwater valve sliould be uistaLled. The City and i <br /> Owner wil] cooperate to deterniine a mutually ag:ecable time for tlie insper!�on. 'll�e <br /> iuspection is at the City's sole cos:. <br /> I <br /> 2. f3ackwater Valvc. � <br /> ,1. Citv Rcvicw of fnsnection v�d Pern�ission to lnstall L3azlavater Valve. The City , <br /> �ti�i11 ret�ie�:� the results of the inspection and wilf determine whether a backwater <br /> valvc should bc inst�lled. IIy signing this authoriz�tion, the Owver gran(s thc ' <br /> City and its contracior permission to instc+ll tl�c 6ackwaier val��e if the Ciry <br /> dctcnuuies that a back�i�2ter vah�e suould be inshillcd. Tlvs inslallation is at thc <br /> Ciri''s sole cost. <br /> I3. Other Devices. Tl�erc may bc other devices that pro��ide as good as (or greater) <br /> protection than a back�vater valve. By signing this �uthurization, tl�e O�mer <br /> grants thc City and its contractor permi,sion to inst�ll thc odicr dcvicc if thc City <br /> detemiines that it should be installed. "This installation is at thc City's solc cost. <br /> I�o«�ever, if the Owner desires installation of the oher de��ice; Uut the City has : <br /> detem�iocd tu otdy intitull a Uackwlter va!ve, then Uie Owner may insl�ill tl�e othcr <br /> dcvice, :uid the City will rcimbt�rse tlie O��mer up to U�e installation cost of the <br /> backtvater valve. <br /> C. Fuh�re Ivlaintenance. Upou installation, the bnckwater valve or other device is the ; <br /> O�sner's property. 11�c Owner is exclusively responsibic to maintain it. <br /> 3. Other Rccommended Tmprovements. After tl�e cempletion of the inspection, the City : <br /> may� provide the Oamer wilh a litt of other recommended im�rc>vements lo the property's <br /> plumbing and dr�inagc systemti. The Owner is responsiblc ii�r dcicrmining �ehctl�cr to <br /> implcmer�t the rccomtncndltiuns- un the list and for puying for the itnplementa'.ien. <br /> � <br /> n\�'N � . <br /> � . , <br /> � <br /> S g ia - � ---- --- �ignature: ------- <br /> i <br /> ��21�r� "C�-��i� ; <br /> Printed Name: Printcd N,unc: - - — -- <br /> i <br /> Printed Address: <br /> � <br />