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BACKWATER VALVE INSPECT' eb+- ,, <br /> tek <br /> CHECKLIST <br /> Property Address: 2.309 Kv n t P <br /> BWV inspected by: L • -3----wvctct Date BWV was Inspected: : 9 ( 30 f y <br /> Se..wwr- rw,,s dow�, o 1 to 5 L0-0l cvis S <br /> 1E ,3' IE (2. ?" <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? Yes n No <br /> Comments: 3 thSCA:WO i+-e,l <br /> Does BWV positioning meets minimum slope requirement of>1%? E Yes E No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? E Yes ❑ No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ 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? E 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 ❑ No <br /> Comments: <br /> Ai— no+ u mus ki vateoL <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />