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. ::. <br /> .,. BACKWATER VALVE NSPECTMN <br /> CHECKUST <br /> Property Address `Zd 3 Roc_k.e / <br /> BWV inspected by: L • ,Skwiloa Date BWV was Inspected: : <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? n Yes n No <br /> Comments: <br /> Does BWV positioning meets minimum slope requirement of>1%? n Yes n No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? n Yes n 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? Yes n No <br /> Was property owner shown how to inspect and maintain their BWV? Yes n No <br /> Does this BWV require repair or replacement? — Yes n No <br /> Comments: t esscie,, sal 1),v4 5ke,. e"to t5 140T kive A- ( or t0(3 <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23 2014"' <br />