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BACKWATER VALVEE NSPECTON <br /> CHECKUST <br /> ,3g Sol, <br /> Property Address: Z52 .5- <br /> BWV inspected by: Date BWV was Inspected: <br /> vlo -13 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? -Yes F-1 No <br /> Comments:- Y , - <br /> Does BWV positioning meets minimum slope requirement of>1%? 0 Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ❑Yes F-1 No <br /> Can BWV be secured into the proper position? F-1 Yes Fj No <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 <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes ❑ No <br /> Does this BWV require repair or replacement? F-1 Yes F-] No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday,September 23,2014", <br />