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11111 <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST 4w,,nc„1 to q2�; ,o, --r rG,S <br /> Property Address: 6) 20 KuL i <br /> BWV inspected by: L. Z foc uur' Date BWV was Inspected: : <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV?N Yes ❑ No <br /> Comments: 11 discem vi•tc.4-j <br /> Does BWV positioning meets minimum slope requirement of>1%? I►!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 E No <br /> Where is the valve installed (general description, attach map)? 0 wV tr bAstotbv, aA i\I in) c.Tv\t. - ) .ns-i- 1dI <br /> '' I 11,5 aer - IAS G- C i ecnti of t- 5z„0tie ltc a— au 51,c1.)._, ;a N INN e <br /> Is the,installed BWV considered an `approved' model by the City of Everett? [ 'Yes E No 1 <br /> Was property owner shown how to inspect and maintain their BWV? N Yes 0 No <br /> Does this BWV require repair or replacement? E Yes k <br /> No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday,September 23, 2014 <br />