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7,4.4F:ii <br /> BACKWATER VALVE ]F4SPE O <br /> milay <br /> CHECKLIST <br /> Property Address: i S 7 5 40 T r A __ <br /> BWV inspected by: L vww Llat,xcr Date BWV was Inspected: : ._. <br /> a ) <br /> 0 core ._-Ado ( i S <br /> 0 ' S <br /> Inspection Checklist ? kc-eed i' 2.000 — Hws WAti,. 1'619 leNtk3 <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? *.Yes n No <br /> Comments: .1 .,-t-3 z; �cc A,,(' <br /> Does BWV positioning meets minimum slope requirement of>1%? I I Yes No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Yes IR No <br /> Can BWV be secured into the proper position? n Yes _ No <br /> Where is the valve installed (general description, attach map)? '8 ' ca rt, e - - ovii 'v- K( <br /> Cart <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 n No <br /> Does this BWV require repair or replacement? I I Yes No <br /> Comments: N 14 '1 eV 4.4 tA5 614 44 VObt..e -6 <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />