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BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: Q6 (9 14(1st- bk - <br /> BWV inspected by: L J. Jq a.c.U.r Date BWV was Inspected: : <br /> 1s.(2 k v. . 2.-w�,B.�v'\,.'��' 6"°` SSG6.'�- 'r'ov , IA—AP('IA, C"ussv` - 6 wstlx 1 v c,�. "� I C� e�p 5 <br /> �V�/ t(- , �p t t t J i <br /> Yj l �W� ® A1- V`^� 6454-0,1- i W✓v ,tM"' oN -te.sta.�4LUl - 3 Ptr5 our <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes y No <br /> Comments: L,w-sa-n-eaw, G3w�1 <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ❑ Yes ❑ No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ No <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an `approved' model by the City of Everett?ox,Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? ❑Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes n No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />