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y ` el", <br /> BACKWATER VALVE INSPECTION <br /> *444.1id CHECKLIST <br /> Property Address: -,36 31 Ey-1 fin.A4T"ive�_ S E <br /> BWV inspected by: L. 3 tl v►ter-- Date BWV was Inspected: : tai 2 3 30/i i <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ElYes ❑ No ?. <br /> Comments: Att, -a,Sr7F' / 10 f�c .gel <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No <br /> Comments: U4k.itio i <br /> Can BWV be accessed for inspection and maintenance? O. Yes ❑ No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ No <br /> Where is the valve installed (general description, attach map)? SG- of -ad Ai- <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? Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes No <br /> Comments: tw toas-c,.'`, 04' j(.J e_5,--vv , G 61,,,S.-e- - lriyvtte, ' pwot <br /> io <br /> C6 W V vna4A.u.cd OA -- fef(ac,e i ' (0 r vs aI o <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />