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BACKWATER VALVE INSPECTION <br /> 44`d1;4 CHECKLIST <br /> _ <br /> Property Address: 't�5 Li STSf <br /> BWV inspected by: L ° Date BWV was Inspected: : DUI � / /1 <br /> rory e, beA/,vJ DAT-- rotic <br /> ^° y� oft{ <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? E Yes ❑ No <br /> Comments: 5 /47 „-s0 -f szo-v, d <br /> Does BWV positioning meets minimum slope requirement of>1%? ]I 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 ❑ No <br /> Where is the valve installed (general description, attach map)? r„,. Coy Lac , <br /> /43 s•.. sae-k <br /> Is the installed BWV considered an 'approved' model by the City of Everett? lkYes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? El,Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes ;Z1 No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />