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i <br /> ,�: � �?raa`����!'t�h. l�[_6; �A!}a[�_�/��= �G���hy�'rC"�C��fN <br /> ���� ` E1���8��6�� <br /> PropertyAddress:�9l� Z ��0� _E�V'� __ <br /> BNN inspected by: �-- • Ju-��q I�au� Dale BWV was Inspected: �� L3 �- � �-. <br /> �[ , <br /> �)��-E'. �,-. ��pr0�. _ C�ecw� mn�l' �� �31N1� _ <br /> Inspection Checklist <br /> Are all downspouls and sife drainage disconnecled from upsiream of Ihe BWU? �Yes ❑ I�o <br /> i <br /> Comments: '-P o�-sPa,-.'l- �is�-�n��'-�d <br /> Does I3V��V positioning meefs minimum slope �equirement of>1%? ❑ Yes ❑ Na <br /> Commenls: N� <br /> Can BINV be accessed (or inspeclion and mainlenance? ❑Yes ❑ Ido N« <br /> Gan B',NV be secured info the proper posilion? ❑Yes ❑ No <br /> 'Nhcie is ihe valve installed (yeneral descripfion, attach map)? <br /> Is Ihe insfalled BWV considered an'approved' model by ihe City ot Everelt? ❑ Yes 0 No <br /> 1'Va� properfy owne;shown how lo insp2c( and maintain iheir E3VJV? ❑Yes �J l��o <br /> Does this BWV require repair or replacement? 0 Yes ❑ No <br /> Cr,m�nents:__(�r,� Z �l�o✓ ��vn„ti g - sl,a,,.l� ,.;;jz.Vl �,..17 �6,.�t.l�<_ ,�a Ivr `, <br /> In�pec!o�'s Sign��ure. D�te, <br /> Rrw'�ion' 2 7u�,,.�Liy� _!.uli�mLr r ", JOl�1 <br />