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V BACKWATER VALVE CC SPECT ON' <br /> A, <br /> 4.4 <br /> CHE KLL <br /> Property Address: 12 3 '2 t yevvnf e.-. <br /> BWV inspected by: L i vvviklakt.ere- Date BWV was Inspected: : 10/3/ JO - ✓ <br /> )}./3v ') idt-x l- -tiI. o✓- vvwzs :v- -4loov- cult t k F(J)V r' <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? 1Yes No <br /> Comments: '-( )0 �- di6e chi r-Ic- �, <br /> Does BWV positioning meets minimum slope requirement of>1%? Yes n No VA <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Yes No IVA <br /> Can BWV be secured into the proper position? U Yes n No 1,1A <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 & A <br /> Was property owner shown how to inspect and maintain their BWV? Yes No NA <br /> Does this BWV require repair or replacement? n Yes I I No <br /> Comments: as Clcysi m4% r ItivimlAw w kit ',h14 Ike, 104 01-61- 8L1l' <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014,; <br />