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�v��:" i��ic-E��.�����, �� ��r, ���,i�u���_ cc��"�,��,.c:.�����-�v <br /> . <br /> .�,— ,=, <br /> �c��.��:t�����1� <br /> PropertyAddr�;;s:_rSl � 1(1�[tD�v _ S� ------- <br /> I —1=— <br /> B1NV ins;��;cted by:_ l, J N•�q �c�t,i-�� Dale BWV was Inspecled: :_ <br /> ---�------- --- <br /> �� C3t,J�/ - SS repin�cc� �� � �•�� �.fo 13c�V <br /> wa��,..� ,��-+�. wr+ P�u���,� . <br /> Inspection Checl;list � <br /> a <br /> � all do�vnspouls and site drainage disconnected irom u�slraam of the 61NV? j�Yes ❑ tdo <br /> Comments:� �oti,.�-<co� f-5 rT����o�,.,.��er.� <br /> Dnes 6WV posiiioning meels minimum siope requirement of>1°b? ❑ves ❑ �do <br /> Comments: <br /> C�n BWV be accessed ior i�speclion and mainteo::-� ^ ❑ 1'es ❑ h�o <br /> Can DWV b= secured info tne proper posilion? ❑Yes ❑ N� <br /> �4+hera is th2 valve installed (general description,attach map)? _ <br /> Is the installed BVdV considered an 'appro��ed'm�del by the City of Everett? �Yes �,IJo � <br /> Was piop�riy etivner shown how, to inspecl and maintain iheir BNJV? ❑Yes ❑�'c <br /> Does this 6VJV require repair or repl�cement7 es ❑ No <br /> Comm�nts <br /> lnspecfor's Signafure: _ __ p��� ___ <br /> Revison: Z Tu�sda��, Scpteniber Z3; 2(?lA' <br />