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1W <br /> - ':::: 70' <br /> 1,11," <br /> B 4",CK \" <br /> 1°1z.2 9`C3 <br /> E C tl 1���} 2 Ityz_3 e. 2'�-O <br /> Property Address: I\0 2 A r ci Ave_ — R,(0 o' holti <br /> BWV inspected by: L. 314,1(oawe-e- Date BWV was Inspected: : <br /> Inspection Checklist uv1.Gtb(,G to Ieq'PeCh <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? ❑ Yes ❑ No 7? <br /> Comments: II downs ,,-1-5 qo vr-t-Q ivc,,,wa( — imi.E. tlrn.t,.. /se+.,,-e-Y- , . <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes C No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? E Yes ❑ No <br /> Can BWV be secured into the proper position? ❑ Yes ❑ No <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an 'approved' model by the City of Everett? 7 Yes E No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes ❑ No <br /> Does this BWV require repair or replacement? ❑ Yes ❑ No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014` <br />