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�A�K�lIA��f� ��.L�/� f�SP�G�i'f�€� <br /> � CHEC�fLiST <br /> Properiy Address: 'L21� �ocke �e-�` �" ►�v� - �er�a;� <br /> BWV inspected by: L • S��a�� Dale BVVV was Inspecled: : ___ <br /> �o e.s ��c�T hu✓'e_ �. (� 6;.� Of — Net'c':`S ;j)��- <br /> Inspection Checklist �,u•� a.. s�...� F,,,,,,.,P <br /> �c -�re all dotivnspou'., and site drainage disconnected (rom upstream o(the BWV? �,Yes ❑ No <br /> Comments: __�n c�o,,,,.-��a.�� ���s..�-�.J1G� <br /> �oes B�VU positioning meets minimum slope requirzment of>1%? ❑Yes ❑ No <br /> Comments: NA <br /> G��n Blh'V be zccessed (or inspection and maintenarce? ❑ Yes ❑ No N,'� <br /> Gan BVJV be secured into the proptr�osilion? ❑ Yes ❑ Wo �A <br /> 14�here s the vaive ins(alled (general descripiion, afiach map)? �_ <br /> Is the instalied BWV cor.:idered an 'approved'model by the City of Everett? ❑Yes � No _ <br /> Was property owner shovm ha,�, lo inspect and mainlain iheir BWV? ❑Yes ❑ No N� <br /> Does this BVJV require repair or replacement? ❑ Yes ❑ No NA <br /> Commenls _ <br /> Inspeclor's Signalurz: p;,;� <br /> Revision� 2 Tuesday, September 23, 20t4 <br />