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BACKWATER PRf_VENTION f)EVICE ( IN I
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<br /> E!/F T INSTnI .L/�TION CHECKLISI� '
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<br /> I�r�!,; .il���i Cprnpan�hJarns a,:d C��ntac� Inf� �a•tCr.'xLc�VSi�.�[ IIcF1 ���JIC.:� �j ZS-SS'Z'_T���>
<br /> D�i�e Har.,:v�aler Pr�;ucnb^� de;;c�.. (6WU)vras im,! ill.:� l /� � 2. I � I Sl I;.��� I! n i���in ��:.r.� ,, n ,i �lr�l ���Z�//S
<br /> Inslaqalion Propc�ty 0.•mai N;�me �nri Con�r�ct Inln �LI'}'� (ti�,��1/JIH�
<br /> �'r�pe��y Ad;trr.s< i`-1��_�r�-lLt. � �i.}��! - - -
<br /> Pre-Inslallation Inspechon Checklist:
<br /> A'u ilems rruis7 be che��r.d 'Yes'in nrdel lor r3 HVVD lo De can.vdrred hv insl�A,iliou �
<br /> �; �fi^fC l U3if:fllF!(I�Qf�P.VCI Of�hC'. ��10U5C �h81 IS 7�01 f1C.T .1S5111111)1�SI;K'Cf Illil�ll C��!V�1�!0.1�� � ��•' 'I � ���';
<br /> Arv Ihere Gx1�,ues m Ih��ho�se Icca'�d belo�v Il�e upslrr.am se�scr m,anh_�Ic nin i�lr,v.,!�on'� � �e'�, � �Nu
<br /> Is �he Side se���er currer,lly UNPROiECTED (rum sewe� 6;�ck irr; (dn.�s nnt have a (3;��'� msla'Icd)"� ����Y�•s ' �Mn
<br /> Site Inspectinn Cfiecklisl:
<br /> �'i�tams n,ust be ch,ec4,�d �Yes'before inspectrcn c, cons�duied r,umnle�r
<br /> I,','as side sewer f V inspeered froT 6uilding to sewr.r r�"��n'� � ��� �_� No r;n�";���n�, ___ __ __
<br /> D�r,s s�de sr.wer have af lea�l i°o slope hom thc budd�ng lo�,awcr mam'� �__�"Yc5 i � Nu De;i.nln: _ _
<br /> I la,�e all building sevier drain cornections to Ihe side sewer heen idenldn�rl:md lor.:3lcd'' I✓�Yrs � �Nu
<br /> H�ce all property storm d�ainaye connec'ions fo lhe side sr,wer been idr.nldied and locib;d'� ��Yc', � ��v �
<br /> Has pro;��cr,y �;cen evaluatetl (or drainage defiricn�.�ev ti-�Ih I:ndinqs �.u�nnnnncaicd lo��ru�;ri ty uwnr� ' ��Y�•, ! j hl��
<br /> Installation Uetails:
<br /> 1�'lial lypir und hr,�ndof f�14'D�v��s inst�lled 2a!thi� ;dc(Clc;in (.her,k HV:^d. Grr�der purn��, ctc ) ��e/i�! C!-��C_�_
<br /> 1"Jhero µ���; (he devir.e m:ialled (9eneral desr.ription, atlach m,ip�'��j A-c r �'�'y�
<br /> lh'as Ihc�u rriy uthcr sr.a;r�r ur �;lornt drain;��e e�urk r.�xnp�rlu�l �n nxqunch;m �a4th Ihc RN'I)�vork"� I�.; �,u plc��,c d;;cribe --
<br /> ��°�r� �:-��.usl'�n5i TE) �x'v-`.v STQ�.�.•� �t� V�`�� _ _ _
<br /> Insl,ill,3tion Chr.cklis�
<br /> l�r:��i�l r;n4:�n �,{�o�ds ���id�,�D�di.iin.,;r disr.nrn�r�.lo�l h�:in up��,�,; ��n, � u��� k'iJ!1'� � =�Y,,; � � Nu Cnnuncnl��
<br /> 17��e�, ISVdD pos�l�nn�ng rnei:is mmirnurn slopr requrcenir.m u� �1`i.,? � � 1'c�; �_� Nu (:nntmm�L;
<br /> (�:;^ f1�VD hc pitllc�l��uf lu� �nypt:Jinn and m,iinleicmi r ,illi�i Lnc,rn�nq Ilwn�h scrryv�� � "��,,, � �N��
<br /> I, C�NrI) Inckcd irl�� II:�� �r,�j;uailron arid Uiwnb sucw hi�ldiv�r�1� � "I fcn � � Nn
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<br /> ( u��r tlie 13VYD�r�vei �ih� on c�,+er�andsca�� �r<sQ/t�,d6c lu,id br�nuiq covr.r (dnvc su�l,i��r)I,������,, !i ��� n (I i��J�h, �l)
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<br /> lh'�i. ;�m�nrily nwnci �hu�vn Ihe 6�c,i r. ��f fh�� n ��I,�p��d it17�i � , Yrti � � Nn Cuunn . ,1�.
<br /> P�UprilyOvrn:'i'�, .`��.�u�dv� � �f���- O.ilr � �f" L�' �Ii
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