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edge BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 11 12-- Rut, ex- PUN_ <br /> BWV inspected by: L• J pOLL eX Date BWV was Inspected: : �t/i /i7 /l : 30 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? j►i Yes ❑ No <br /> Comments: y d sfow±-s 41 5c m-, e c*ea <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? n Yes ❑ No <br /> Can BWV be secured into the proper position? E 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 No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes E No <br /> Does this BWV require repair or replacement? ❑ Yes" No <br /> Comments: CQ ak vihte Place— Iv, all 35(-rs c-ter — ka t a C--1,ea,4 awb <br /> tli+7 Set) c lie - c4 k -e__ ;,vs laweil \\ v`�tdf + \itysi4v <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />