Laserfiche WebLink
' #4P'4./Nr-mg <br /> BACKWATER VALVE INSPECTION <br /> CHECKLIST <br /> Property Address: 3//0 13 St: <br /> BWV inspected by: f0, l/44b4/l Date BWV was Inspected: : I I/r/l g <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑Yes ❑ No <br /> Comments: ''::`,,,Cif Least- j 1S ccw++ t ckd <br /> Does BWV positioning meets minimum slope requirement of>1%? [ff [SNo NA <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ❑> No N/ <br /> Can BWV be secured into the proper position? N tvA <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an `approved' model by the City of Everett? LJ Z No <br /> Was property owner shown how to inspect and maintain their BWV? rteg No Nfk <br /> Does this BWV require repair or replacement? ❑Yes ❑ No <br /> Comments: N® AVM , r(later out- rat a(Ill <br /> 21 <br /> 67 <br /> Inspector's Signature: /..a7 Date: 4/$"f 1/Q <br /> Revision: 2 Wednesday, November 05, 2014 <br />