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• <br /> 4, BACKWATER VALVE INSPECTION <br /> 144.`(i4 CHECKLIST <br /> Property Address: I '6 2-0 C.o 1 io t, <br /> BWV 1.inspected b :p y - ink ce,at-tom Date BWV was Inspected: : 1 1 I 1 L/ <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV?"Yes E No <br /> Comments: L ✓� i3 ��5�-ar.�ec('-0dt 7 2 a,� 6�r o�fi+� G�ovti+�eLf�f <br /> Does BWV 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 BWV considered an 'approved' model by the City of Everett? Yes No <br /> Was property owner shown how to inspect and maintain their BWV? E Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes E No <br /> Comments: Fpe f6 pig' r= + iew- O +$ - wt./ <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />