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A <br /> ::y ty f B C TER VALVE @ ECT IN <br /> CHECKLIST <br /> Property Address: 20 ( Z ���,,,.A ire_ <br /> BWV inspected by: -374q 13e_ir' Date BWV was Inspected: : " 1 -1 !� , 9 <br /> tr► ► pi✓ p"_ i ow�5) 41-1- SE Car►lViY e , <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? I4 Yes I 1 No <br /> Comments: (2) jaww--spviw"s <br /> Does BWOpositioning meets minimum slope requirement of>1%? ❑ Yes 7 No N1 <br /> Comments: <br /> Can BWObe accessed for inspection and maintenance? XC Yes ❑ No <br /> Can BWI9be secured into the proper position? ❑ Yes ❑ No <br /> Where is the valve installed(general description, attach map)? <br /> Is the installed BWVlconsidered an 'approved' model by the City of Everett? 5zi Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWY6? n Yes n No NJA- <br /> Does this BWV require repair or replacement? n Yes X No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday;September 23, 2014 <br />