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P AC KW AT 'a VALVE E INSPECTION <br /> CHECKLIST <br /> .. Property Address: Z4( I m 6c r-A <br /> BWV inspected by: L.L. -37,e ba44.-ex Date BWV was Inspected: : \° 2J-4 3 <br /> f frP*". <br /> c W.V ? 7 .-Co tI rS e o 1S re (4.C. A <br /> inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? Yes (i No <br /> Comments: L. etawY,-s106.---,'i's el)s --in 0I* c-eOf <br /> Does BWV positioning meets minimum slope requirement of>1%? ❑ Yes n No <br /> Comments: vkt VIA ow v <br /> Can BWV be accessed for inspection and maintenance? [] Yes Zi No <br /> Can BWV be secured into the proper position? n Yes No tJvt& c-t-• <br /> Where is the valve installed (general description, attach map)? 6tAAJ 1 `A ' d� IA,- ,+� gym-4 <br /> v,6 att-C--e 55 , \tA,St 01A- 51 di L:1,5 Ceiv14.2.- legfrre. po -eitlA v+ 54- -5 /,, a'1 i . <br /> Is the installed BWV considered an `approved' model by the City of Everett? _ Yes . r 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 />