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• <br /> BAC ; TER VALVE INSPECTION <br /> 0O <br /> CHECKLIST <br /> s, <br /> Property Address: I 61 S Ru.c ice,,- Ave_ <br /> BWV inspected by: L• 3v loa.o Date BWV was Inspected: : ta/► /6:30 ►4M <br /> \r P00 1.' - <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? Yes U No <br /> Comments: <br /> Does BWV positioning meets minimum slope requirement of>1%? 1W Yes ❑ No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? 54 Yes E No <br /> Can BWV be secured into the proper position? ►'1 Yes No <br /> Where is the valve installed (general description, attach map)? bdx t 1 e 1-11-es✓ <br /> '12," e.c- AS , lyd ` T7y5 r �} <br /> Is the installed BWV considered an `approved' model by the City of Everett? Yes I I No <br /> Was property owner shown how to inspect and maintain their BWV?1 Yes No <br /> Does this BWV require repair or replacement? Yes 14 No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2014 <br />