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4412;1 BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 4 41 1 C rev►d AtA-e_.. <br /> BWV inspected by: L. -3--wvlinocu_r Date BWV was Inspected: : <br /> (J <br /> Inspection Checklist 1 <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? Yes ❑ No <br /> Comments: Cps 5cf clee„( <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No Nik <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Q Yes ❑ No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ No IVA <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWVconsidered an 'approved' model by the City of Everett? gi Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes ❑ No KA <br /> Does this BWV require repair or replacement? ❑ Yes !) No <br /> Comments: air.vJav- px,w,,P Ca-, SO IA kIo4 <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />