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J <br /> ` �y4 ✓ k BACKWATERVALVE ll ' PE TO <br /> ,tige <br /> UST <br /> Property Address: 15—(9 Lo ievoci..y-c A <br /> BWV inspected by: L. J toau_e� Date BWV was Inspected: : I°/ I / I y <br /> 5+315 0/d <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? IiI Yes No <br /> Comments: 4 -.,-5 ‘t+ F ,,5.f•CTrx 'c_I <br /> Does BWV positioning meets minimum slope requirement of>1%? n Yes n No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? n Yes n No <br /> Can BWV be secured into the proper position? n Yes No <br /> Where is the valve installed (general description, attach map)? So.%r)- 5,ef.& cir izuf..-6 ,- -g,,; y,if <br /> Is the installed BWV considered an 'approved' model by the City of Everett? I 7 Yes n No <br /> Was property owner shown how to inspect and maintain their BWV? n Yes I I No <br /> Does this BWV require repair or replacement? [ Yes n No <br /> Comments: q W),t , vv -9-2 i,/- - r 1. <br /> 4 Y 5 Lr bH v- e0E eviApioi c e_ c.kec.k-.1 m rc.s,., eti-., a45ritn tAix-F flelov. <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />