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was t/25 - 3 a- 6 2 9/ <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: V O e <br /> BWV inspected by: L w ha/,tf2A'' Date BWV was Inspected: : 9 orv, 101 <br /> 2 z- <br /> loossi— 4 2- 3 r1 41 6 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? `®.Yes ❑ No <br /> Comments: ctow�5po4- ii5eurm c/dA' <br /> Does BWV positioning meets minimum slope requirement of>1%? [jj Yes D No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Ec Yes ❑ No <br /> Can BWV be secured into the proper position? Yes ❑ No <br /> Where is the valve installed (general description, attach map)? 1,/, ote, ,f- ,Vi —oe <br /> Sk.�ip pww,p I 1Ie) '2-3 ctIrs . c <br /> Is the installed BWV considered an `approved' model by the City of Everett? [r] Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? [ Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes CA. No <br /> No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />