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. /� _ <br /> �2vf'�; � [R�G�`,:��E�.[,r�.����"i�.�`G� ���'�:[�,L�L� CG�r,�;f�';��:c ti G!�.�i��� <br /> . �EI/ r_'i <br /> c���sF;Puc�7� <br /> Property Nddress:��� 2 ��"�',,.,or e� V'�V�e_ _ <br /> 91MV inspected by:_ L-��.��p� _ Da(e BWV was Inspected: � �� 3 I � , ��� µry� _ <br /> '�{���� � plaxF 1'0 ov �...�fL:: ��oar- e�rn�i. �IO IJl�.7'1/ � <br /> Inspection Checklist <br /> Are :II dowrspouts and sife drainage disconnecfed (rom upsiream of the 8WV? (�Yes ❑ Ir'o <br /> Commenfs: �I �uL,�,s�o>, 1� �rs�a., ��Fe�'ci <br /> Does B���IV positioning r;eels minimum slope requirement of>1;5% ❑ Yes ❑ IJo NA <br /> Commenis: <br /> �:an 5t^,%V bs a�cessed ior mspection and mainfenance? � Yes ❑ We N/� <br /> Can BVJV be secured into the proper Fosilion? ❑ 1'es ❑ No �,/A <br /> r:nere is fhe valve installed (general descriplion, atlach map)? <br /> fs Ihe inslalled BNN considered an 'approved'model by fhe City of Everetl? 0 Yes ❑ No N� <br /> 1'�'as properly otvner shown ho�v 10 inspacl and mainlain lheir BV��;�? [] Yes [� iJo N� <br /> Dces this BNN require repair or replacement? ❑ Yes ❑ I�o <br /> COI111T1Cl1�5�._}'f'C�5 F�6J�4t'A�i..-�.!'.51rW W �L'GQ`i1n�L 1.. !:rv::T -� <br /> lr __ A�C[r.Is � 8�J✓ <br /> ifl;�.���Of$ .�I�f1F�lIfC._____". D<.�f�. <br /> Revision: 2 Tucsday, Septem6er 23, 2014- <br />