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BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 1 LI® RocIGeS.e.j(-e.,r <br /> BWV inspected by: 1--t 1/4q(oau-e-r" Date BWV was Inspected: : <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes No <br /> Comments: 5 frow-fn k i 1( JL+ Plus I,)'e rt Irei <br /> Does BWV positioning meets minimum slope requirement of>1%? Dj Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? X] Yes ❑ No <br /> Can BWV be secured into the proper position? 1 Yes ❑ No <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an 'approved' model by the City of Everett?(E Yes [1 No <br /> Was property owner shown how to inspect and maintain their BWV? Yes ❑ No <br /> Does this BWV require repair or replacement? E Yes ] No <br /> Comments: 3Lv iwsh- Q4,1 ?irs 4.4 f, w bA1..-/),,A44-is 61,E ccYVI-C4/ c 14OUSA -, <br /> j <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 "' <br />