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C'SV 4 . <br /> </\''' <br /> S 00� 0 2013VA CP, <br /> � <br /> IV OVSS BACKWATER VALVE AUTHORIZATION C <br /> V�BL�� ie <br /> 1. Permission to Inspect. The Owner grants permission to the City and its contractor f Y' <br /> inspect the plumbing and drainage of the Owner's property for the purpose of gathering,ram <br /> information regarding whether a backwater valve should be installed. The City and tp <br /> Owner will cooperate to determine a mutually agreeable time for the inspection. The <br /> inspection is at the City's sole cost. <br /> 2. Backwater Valve. <br /> A. City Review of Inspection and Permission to Install Backwater Valve. The City <br /> will review the results of the inspection and will determine whether a backwater <br /> valve should be installed. By signing this authorization, the Owner grants the <br /> City and its contractor permission to install the backwater valve if the City <br /> determines that a backwater valve should be installed. This installation is at the <br /> City's sole cost. <br /> B. Other Devices. There may be other devices that provide as good as (or greater) <br /> protection than a backwater valve. By signing this authorization, the Owner <br /> grants the City and its contractor permission to install the other device if the City <br /> determines that it should be installed. This installation is at the City's sole cost. <br /> However, if the Owner desires installation of the other device, but the City has <br /> determined to only install a backwater valve,then the Owner may install the other <br /> device, and the City will reimburse the Owner up to the installation cost of the <br /> backwater valve. <br /> C. Future Maintenance. Upon installation, the backwater valve or other device is the <br /> Owner's property. The Owner is exclusively responsible to maintain it. <br /> 3. Other Recommended Improvements. After the completion of the inspection, the City <br /> may provide the Owner with a list of other recommended improvements to the property's <br /> plumbing and drainage systems. The Owner is responsible for determining whether to <br /> implement the recommendations on the list and for paying for the implementation. <br /> OWNER: <br /> ....)44...a.A._ ..,<LeitsAet <br /> Signature: Signature: <br /> Sit.,Sa.n St A'va' I <br /> Printed Name: Printed Name: <br /> 3L/y groadavieveAdtituA <br /> Printed Address: <br /> 9102 0/ <br />