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' /AABACKWATER VALVE INSPECTION <br /> *4diie CHECKLIST <br /> Property Address: c ,OCI C revvvil A . <br /> BWV inspected by: L • M ocu t e.r` Date BWV was Inspected: : <br /> 131,A) , 1,,. � l ga„,ct.�,,?7 6. Y 1.4-r <br /> `\ t� a ? _ t-k Lis 6tr .r! c..-.P f /y,25)'z`2 0-117!3- too,.C.- <br /> 0 <br /> Y., ty. Ltrty W <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV?"Yes ❑ No <br /> Comments: -7 - ,„fs ,6,,,, .P,:e <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 R. No <br /> Where is the valve installed (general description, attach map)? ce e co-i-61-6ut-a <br /> Is the installed BWV considered an 'approved' model by the City of Everett? ❑ Yes yi No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes E No <br /> \Nli <br /> Does this BWV require repair or replacement? ❑ Yes No <br /> Comments: w,/ , tw-tra w(. t‘ti.. ` aA S 1 cov v«,- I/►,eruIrc.-r - 61.v► ✓ <br /> cite.. . <A6`F- &oam e 4 et.q 1 <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />