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,1400. <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: .3 j 1 09+' �2 <br /> BWV inspected by: L.- , S Jb . eX— Date BWV was Inspected: : 1°//-2 /0 401, <br /> w ba . II <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? gq Yes ❑ No <br /> Comments: '( JQtiwr.5 pt3Ze zf,s cow yyC eF <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)? L loi ' r l' — 7)14"ft <br /> q wows o <br /> Is the installed BWV considered an `approved' model by the City of Everett? It Yes (1 No <br /> Was property owner shown how to inspect and maintain their BWV? k Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes '►'1 No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />