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. BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 3 2. Rink tkoe_., <br /> BWV inspected by: L. w \��,u,.�.� Date BWV was Inspected: : 10/3/ /1 taroka,., ` /Y J <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes 'No 7 ? <br /> Comments: 13 135. piped tv+c- /roz.1 — Q0--- - r <br /> Does BWV positioning meets minimum slope requirement of>1%? [ Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ql <br /> Yes ❑ No <br /> Can BWV be secured into the proper position? Yes ❑ No <br /> Where is the valve installed (general description, attach map)? 9 . S,c_e 6s.4 , re4 <br /> — Re (c .L.5 ir GI 41w ;3,. - c_Ve-t,A,cot 61 firt71-5 , 6aI--)--ebt 11 1.,c, <br /> Is the installed BWV considered an `approved' model by the City of Everett? Op 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 /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />