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004P006/sf-i' BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 230'1 (ZaiiAity Ave. <br /> BWV inspected by: 11a/11, kiw'ba 1( Date BWV was Inspected: : i//c//4 @ <br /> f'defeyenikut c 4 efl"er -Flog dvpiti cok*cl'r esr <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? No NIA <br /> Comments: <br /> Does BWV positioning meets minimum slope requirement of>1%? --No VIA <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ; .No NA <br /> Can BWV be secured into the proper position? No NA <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an `approved' model by the City of Everett? 0 1V/� <br /> Was property owner shown how to inspect and maintain their BWV? Plo. WA <br /> Does this BWV require repair or replacement? ❑Yes ❑ No <br /> Comments: floor' draVkt deer vtol- colouCH ro SS — 1114c. .ek it kovrA p <br /> 2 ft& I.ctrw ?mat, floor dr-wk doer (.cph skhrerstf- pipe , )vs}- drrf <br /> Inspector's Signature: Date: li/c ` <br /> Revision: 2 Wednesday, November 05, 2014 <br />