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M1 - <br /> BA C Kw,:��,T R VA3 iNSPECTION <br /> CHECKLIST <br /> Property Address: 20o 5 <br /> BWV inspected by: L. , ka Lte.+( Date BWV was Inspected: : <br /> Inspection Checklist <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? pi Yes I ] No <br /> Comments: 5 4 � „ . <br /> Does BWV positioning meets minimum slope requirement of>1%? [ ] Yes No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? L4 Yes I I No <br /> Can BWV be secured into the proper position? t Yes No <br /> Where is the valve.installed (general description, attach map)? -Uwv ivt NG c.ovt.43,- c5C <br /> 1�^ <br /> Is the installed BWV considered an `approved' model by the City of Everett? [14 Yes No <br /> Was property owner shown how to inspect and maintain their BWV? Pc,,Yes I I No <br /> Does this BWV require repair or replacement? Yes No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 2'014';', <br />