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y ' <br /> � BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 2_3 1 Yct f le.. �- <br /> BWV inspected by: L - Jimilot ,u Q-+ - Date BWV was Inspected: : 10/3 I/11 LI ; q s— <br /> i x� 5 aw bas-041 + ?T ,fie '1 /IA rr.s C 1/i l s., e w-h to 5,4 oP <br /> fuse - 5 <br /> Inspection Checklist Nos i 8 to\J <br /> o <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? kl Yes E No <br /> Comments: A6A---5pts <br /> Does BWV positioning meets ,linimum slope requirement of>1%? ❑ Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and main ance? ❑ Yes ❑ No <br /> Can BWV be secured into the proper position? ❑Ye- ❑ 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? ,ffi Yes E No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes o <br /> Does this BWV require repair or replacement? ❑ Yes (lei No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />