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r � <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: j 4 2'6 L3 vv`ktvy-c/( /A <br /> BWV inspected by: L. Date BWV was Inspected: : fo h /lt/ 3 pm <br /> J l'N se i + w/ 170 k I r b.c L,-6u)- <br /> is- k rs o ief <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? [N Yes E No <br /> Comments: 3 ollt. --. ot ek1 14-c c,. c( <br /> Does BWV positioning meets minimum slope requirement of>1%? aC Yes E No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Yes ❑ No <br /> Can BWV be secured into the proper position? IllYes ❑ No <br /> Where is the valve installed (general description, attach map)? I, 1cAi,rAL + ` 9' E w <br /> Is the installed BWV considered an 'approved' model by the City of Everett? IN Yes E No <br /> Was property owner shown how to inspect and maintain their BWV? pKi Yes E No <br /> Does this BWV require repair or replacement? ❑ Yes k No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />