3054 TULALIP AVE 2022-05-16 - Laserfiche WebLink

- _ _ _ -- - _ _ - - - i ' 2013 LARGE S70RM RESPONSE PAPER FORM CHECKLIST � I Dale of inspec6on: L ��)�l � Inspected By: ��i(n �l. �� M /�S C I Address: �4 �L!— � (/Cti L� 9 __ Service RequesWumber Residenl'/�/di � thLl.M��iTor� O,vner7 ��'ES ❑NO Phone Number _ _Enail: IGeneral euilding Details: Is Ihis building a�ithin the combined sewer area? �1'ES ❑NO Does ihe bwlding havz a basemenl? ❑YES �.]fi10 % �oes Ihe building have a back�vater valve(BWV�? ❑YES �IJO QI yes)Was BWV insla�led Ihrough Ciry pm^� ' ❑YES �-Nb Does the build�ng have a sump pump? ❑YES �rvu Does the huilding have a grinder pump4 [] .ES [�}-N6� Storm Event Detalls: lNhere did e�ater entenng b�.iilding come from? �SURFACE FLOW �GROUNC'.VATER �SEVJER BACKUP-FIXTI,RES ❑UNKNDWN �, Details: �'�' /"' rQ(�O � y ; Wlrere did waler go wilhin Ihe building? �BASEIdENT PERIAIETER ❑�AS[MENT NEAR FIXTURES U vTHER I Details: /1'1i1,l�n n �.�S��UuI"1 �.�i/i ��i��L �✓uWl � � I Site Observalions: i �� . /� - / ' Downspoutlsilegradinqissuesnoled�. _I�I�_�t/M.LL%[/�� 4��Q(..�C tv ��G/,� J�O��FO� . .. j r �. , Builtling clevalion relative to se�ver and surrounding area issues noled: (�luit ! C�f��S �a t—n i/�'� �« . Site pump issues noled: �� � � Nistoricallnformalionl0therinformalion: Previous'flooding'issue Service Requests�l ad�ress � Previaus'flooding"issues noted by hom�owner.�°�SPMnI L,lih.5 / �l,�t/1 1��.�1 � 1 U(,:' l�t��r� �e�CSrQct s;ue s a..�• 3��,0� �s aso . Recenl slormwater I sewer projecis complMed in are Proposod sto�mwaler I sewer projecls in area:_ ' Propetly owner interes�ed in beginning Ci,y Backwater Valve Pra)ram al address: � YES 0 NO Delails: � tJotes��f�cW ()yr��/� �.��l,cT�r�rT/'• � 1��I 'I S hT� tG,�/�- � �'.Pir..� ,'r,� . , �, l�t �,�t� ��h ��.s . Revision: 3 TRW 1 Thursday,September O5, 2013 i �: ��.