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t - BACKWA,TE', VALVE IN P T: <br /> CHECKLIST <br /> Property Address: 1-1O2-O Cyr 14ike <br /> BWV inspected by: L,• ��kc� Date BWV was Inspected: : <br /> J 2i <br /> tdA., le)ESQ.644.,W:��� L�^i cal'tcV'G !n5-h Jt 4 <br /> .� Zdiftv - �I Nk5f-1.0 in/IIt.e( 42( 6gn„" e � 4 tf gnaw vy\N►(.1+Co Ua/S D;s', <br /> inspection Checklist �a 1 <br /> *Are all downspouts and site drainage disconnected from upstream of the BWV? 7 Yes U No <br /> Comments: <br /> Does BWV positioning meets minimum slope requirement of>1%? n Yes i No t4/\ <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Li Yes No NI\ <br /> Can BWV be secured into the proper position? Yes No N <br /> Where is the valve installed (general description, attach map)? <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 NP <br /> Does this BWV require repair or replacement? es _ No <br /> Comments: 1/00 U.f fike "17XJ r fac ..( rb &CC ,.SS rioLa <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />