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ACKW AN TER VAL , E I '`iSPECTI <br /> CHECKLIST ofk,6At <br /> Mit <br /> Property Address: '205 I4c t f Vim_ <br /> J <br /> BWV inspected by: L. � I0au Date BWV was Inspected: : ' �°` r /Z 3d 10)r <br /> '(_one-C-1e to45Ltn„4..„4.'t,'/ I 4cY} 2_S Mtn eG_tc vex(LA& a'` W it 514.4-Y" Lv loon 1V14 <br /> 117 Rol) <br /> Inspection Checklist <br /> *' Are all downspouts and site drainage disconnected from upstream of the BWV? isx,, Yes ^ No <br /> Comments: 5— J01,,,-sy/aut,(A4-75 i crny)ec -.e- e <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes ❑ No KA <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? ❑ Yes 7 No <br /> Can BWV be secured into the proper position? 7 Yes ❑ No DNA <br /> Where is the valve installed (general description, attach map)? <br /> Is the installed BWV considered an `approved' model by the City of Everett? ;, Yes ❑ No <br /> Was property owner shown how to inspect and maintain their BWV? ❑ Yes Ti No NJ!' <br /> Does this BWV require repair or replacement? Ti Yes kNo <br /> Comments: 0 'I corer CSC <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />