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3AC Kti AT R VALVE N S r r -, N <br /> CHECKLIST- <br /> Property Address: )3 15- C7rAnj <br /> BWV inspected by: thltoatittir <br /> Date BWV was Inspected: : /3o 1/ p14-1 <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? X Yes ^ No <br /> Comments: 410,y 5p04,1- di5t0y,v, <br /> Does BWV positioning meets minimum slope requirement of>1%? n Yes I I No K!?" <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? I I Yes S No <br /> Can BWV be secured into the proper position? I I Yes IR1 No <br /> Where is the valve installed (general description, attach map)? Iv. Lip ab g/ c3-ve,r- O h ..,"", <br /> - do ttee€ 5 ^� 46w4, - Sg`"4 1 h4vL YYeGOYIS Off ;nSpc{Qel <br /> Is the installed BWV considered an `approved' model by the City of Everett? P1 Yes [";i4,,No <br /> Was property owner shown how to inspect and maintain their BWV? 11 Yes I No <br /> Does this BWV require repair or replacement? n Yes No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2Oi4 <br />