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*i;E27,. <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: \\O t I Roc_k.C_ce j per <br /> BWV inspected by: \- -. Date BWV was Inspected: : 10 (2 I m <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? Yes E No <br /> Comments: 4/ C6m,spo-wf-s c/iseaov.tc-o/ <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ❑ Yes No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ No <br /> Where is the valve installed (general description, attach map)? iv. to l� 11 t 4e-r elect, — o <br /> iy 11,- LScsx , �v 15 not Jwsf ovd'si t -t. L4.2ewds kou <br /> Is the installed BWV considered an `approved' model by the City of Everett? ❑ Yes No <br /> Was property owner shown how to inspect and maintain their BWV? ri Yes E No <br /> Does this BWV require repair or replacement? ❑Yes ❑ No <br /> Comments: SS „r. Hog 4- 1(44o eii^e sepiwod- BiniV iNs4-0,((e4 <br /> o <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 '" <br />