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00. BACKWATER VALVE INSPECTION <br /> viidi <br /> CHECKLIST <br /> Property Address: 2 I OS— <br /> V i r t a- Art.BWV inspected by: �a/lcy �i�ba If <br /> Date BWV was Inspected: : 3/�lf r <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? IZ Yes ❑ No <br /> Comments: <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑Yes n No <br /> Comments: /10/4 <br /> Has property been evaluated for drainage deficiencies with findings communicated to property owner? ,I Yes ❑ No <br /> Is the installed BWV considered an `approved' model by the City of Everett? ❑Yes ❑ No NA <br /> Can BWV be pulled out for inspection and maintenance? ❑ Yes ❑ No Ai/\ <br /> Is BWV locked into the proper position? ❑Yes ❑ No WA <br /> Where is the valve installed (general description, attach map)? <br /> Was property owner shown the location of the BWV? ❑ Yes ❑ No ivA <br /> Was property owner shown how to inspect and maintain their BWV? ❑Yes ❑ No NA- <br /> Does this BWV require repair or replacement? ❑Yes [K No <br /> Comments: Sax kvi e 0 k /- a r was i .c v dv yew a frlJ / d- i- <br /> /nw� s vw,) p"L'1 h J . .A,r�t1 true V I s �,--o ire fi I c r t vct l LA_A I I S-e u.e V 11(\L' (A a u-e b a u(—Leti 1- & -'-- 2 -/}- 6-e(C� yvLrl.c( Le i..e { <br /> • <br /> (---://, ---- /..; /' <br /> f <br /> Inspector's Signature: '- a. ��' Date: 2/�1//S- <br /> Revision: 2 Wednesday, March 04, 2015 <br />