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. , / <br /> ow <br /> 5:; BACKWATER VALVE �q PE VOA <br /> CHECKLIST <br /> Property Address: I 1 25 G re 141AQ__. <br /> BWV inspected by: L- -a—Aryikletkubir Date BWV was Inspected: : ' 3' 19 2 3° <br /> (14\ ss <br /> Z. CPS W V - t Y+-S- ,(t.e6„,J 1'" t r Cl us--r►.G I 51 2z,J.2 _ q , <br /> r c, ..c - " p sale, Qvex kick/t.5 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? k Yes l 1 No <br /> Comments: T T $ 4tek� -41, seer, b pt o hAs At, s?1,0V oiA (' 11-b,4•, <br /> Does BWV positioning meets minimum slope requirement of>1%? rli Yes U No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? IN Yes n No <br /> Can BWV be secured into the proper position? LJ Yes n No <br /> Where is the valve installed (general description, attach map)? av, -'— 3 i ', ..,, g ,,,,..,if <br /> Is the installed BWV considered an 'approved' model by the City of Everett? g Yes n No <br /> Was property owner shown how to inspect and maintain their BWV? jYes n No <br /> Does this BWV require repair or replacement? n Yes RNo <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />