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-3-0 Lev or. <br /> (425-) o-q02_11 <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 122-7-- C- rpwJ Ave_ <br /> BWV inspected by: L - i ��uQ� Date BWV was Inspected: : to/24 9 4144 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes 1!/ No <br /> Comments: ey5 + '0 5 po n' , �� elo _ r1 '81✓if 5 e -7 dew s <br /> Does BWV positioning meets minimum slope requirement of>1%? IN Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? M Yes ❑ No <br /> Can BWV be secured into the proper position? UlYes n No <br /> Where is the valve installed (general description, attach map)? 2 314'✓- 641, h.6e , I ray- <br /> 6c.vnuwt I ,farm 141, does eit-t- 11,5-6f <br /> Is the installed BWV considered an 'approved' model by the City of Everett? VI Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? la Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes No <br /> Comments: \\ <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />