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J <br /> : •°rr <br /> 7,A4 BACKWATER V NISPECTllON <br /> CUT <br /> Property Address: 20 3 2--- Nay+ Ave_ <br /> 12 <br /> BWV inspected by: I.— - � ,�a� Date BWV was Inspected: : i a�3 � 1 1-1m <br /> I.J. <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? 'X Yes No <br /> Comments: U 13 el,Se. avaed-4/ <br /> Does BWV positioning meets minimum slope requirement of>1%? gij Yes No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? [\Yes No <br /> Can BWV be secured into the proper position? n Yes No ?? sJed " ' /ee ' -_. - <br /> Where is the valve installed (general description, attach map)? roLc crg - - 4,1.-s <br /> Is the installed BWV considered an 'approved' model by the City of Everett? [kYes [1 No <br /> Was property owner shown how to inspect and maintain their BWV? Yes n No <br /> Does this BWV require repair or replacement? n Yes izNo <br /> Comments: 0Wh&'v ( pia() <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />