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BACKWATER VALVE INSPECTION <br />OL CHECKLIST <br />Property.Address: i'? (0 LID/-)�,� <br />BWV inspected by: i 1U� Ta 11 w II Dal Cn IIBWV was Inspected:: <br />A r �-r eS e I <br />rie..yoz,..\c 1ns Rio d.a;.•�.��c. �' 3^\. �wc4a,-4� <br />Inspection Checklist <br />Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes ❑ No <br />Comments: N,) qo-Yter <br />Does 8WV positioning meets minimum slope requirement of >1%? ❑ Yes ❑ No <br />Comments: <br />Can BWV be accessed for inspection and maintenance? []Yes ❑ No <br />Can BWV be secured into the proper position? ❑ Yes ❑ No <br />Where is the valve installed (general description, attach map)? <br />Is the installed 8WV considered an 'approved' model by the City of Everett? ❑ Yes ❑ No <br />Was property owner shown how to inspect and maintain their BWV? ❑ Yes ❑ No <br />Does this BWV require repair or replacement? Yes ❑ No W,/s <br />Comments: HAS c. 51 <br />\u ky S <br />Inspector's Signature: <br />Revision: 2 <br />v; CR Al e r<l 5 k <br />�! TJ11l LM'iiHC <br />Date <br />Thursday, January 03, 2015 <br />