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i . <br /> i <br /> I <br /> BACKWATF.R VALVE AUTHORIZATION <br /> � <br /> � I. 1'em:issiou to Insoect. '1'he Owner grants pcnnission lo Ihe City and its contractor lo <br /> Iinspect ihe plumbing and drainage of the Owner's property for lhe purpose of gathering <br /> � infonnation rcgarding whcthcr a bacicwatcr valvc should bc inslalled. Thc City and <br /> � Owncr will cooperale to detertnine a mutually agreeable time for the inspcction. 7'he <br /> inspcclion is at lhc City's salc cosl. <br /> 2. 13ackwaler Valvc. <br /> i A. Citv Review of Ins�ction aud Permission to Install Hackwater Valve. 7'he City <br /> � will revic��� thc residts of�thc inspection �md will deterniine w�hether a backwater <br /> � valve should be installed. T3y signing this au[horization, Ihe Owner grants ihe <br /> �ily and its cuntrxclor permission to install lhe bac,'<wnfer valve if the City <br /> Idetermines that a backwatcr valve should be installed. '1'his installation is at the <br /> CILY�S SOIE COSI. <br /> R. Other Devices. Therc may bc othcr dc��ices Ihat provide .is good :is (or greatcr) <br /> protec[ion than a backwatcr valee. By signing this authorization, the Owner <br /> grants the City and its contractor permission to install the oq�er devicc if the City <br /> dctcrmincs that it should bc installcd. This installation is al the City's solc cost. <br /> I Howevcr, if Ihc Owner dcsires installalion of the other device, but thc City has <br /> detcrmincd to only install a backwatcr valve, then the Owncr may install the other <br /> � device, and thc City wil: reimbursc the Owner up to the inslallntion cost of the <br /> , bnckwater valve. <br /> ' C. Future Mnintenance. Upon installation, thc backwatcr valve or other device is thc <br /> � Owner's property. The Owner is exclusivcly responsiblc to mainlaiu it. <br /> � <br /> 3. Other Rccommendecl Imurovements. Alier the completion of the inspection, Ihe Cily � <br /> may providc the Owner with a list of other rccontmcnded improvcments�o the property's � <br /> plumbing and clrainage syslems. 7�iie U�vncr is responsihle for detennining whelher to � <br /> , implcmcnt thc recommcndations on thc list and f'or paying for thc implcntentalion. <br /> owr�rs: ; <br /> i ` , , <br /> Q/�c—//) `' � "', � <br /> �c� .I�i' -- �—= "t--• �*�tl.G�c1 <br /> • Signnturc: Signaturc: � - <br /> � y <br /> _� ,,�u� v� 2 T�h n s o � —[_�t�( - J�.._�v_h n!�o�.� <br /> � Printed Namc: Printcd Namc: <br /> I <br /> ' .7Zv� Z3,-r�1 S � C �e2CN- WK-1 � szo � <br /> � Printed Address: <br />