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'A BACKWATER VALVE INSPECTION <br /> ,ftlge CHECKLIST <br /> Property Address: 12 C--7 re, c A,. <br /> BWV inspected by: L - 1at tee Date BWV was Inspected: : I°('1 g <br /> SyaS <br /> \r ' - C,xW r t\ ido a s V' k — <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes No • <br /> Comments: o'"'fs - 9- "' til9,54 <br /> Does BWV positioning meets minimum slope requirement of>1%? Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? V Yes ❑ No <br /> Can BWV be secured into the proper position? kYes E No <br /> Where is the valve installed (general description, attach map)? \I\ 1Pt1x� 4 N la c, n 4 crack. Iv, a <br /> Car CJ Q- \o ox t w.cl w a fie.. -4 .019t Z^' 1 ctro wv, <br /> is the installed BWV considered an 'approved' model by the City of Everett? k Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? kYes ❑ 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 />