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�ACKFLOW PREVENTION REOUIREMEN. . <br /> APPLICANT'S NAME: C� ' rM/I-6'Y�J�O2�(�� �COMPUTER ID <br /> -' BUILDING TYPE AND HEfGHT: i - � � °`'"""� <br /> SERVICE ADDRESS:� +- <br /> OWNER: ��n ° � PHONE: <br /> MAILING ADDRESS: _ -2J12� <br /> CONTACT: ,�.; !� �C�M/l� PHONE: 3S3' ,�OC? <br /> MECH. ENGINEER: PHONE:_ _ <br /> LANDSCAPEARCH: _ PHONE: _ <br /> REOUIREMENTS: <br /> Provide proper backtlow prevention (DCVA's or RPBA's) on Irrigation systems. <br /> _ Provide DVCA's on�domestic exceeding 3 storfes or 33 feet(n hefght above water main. <br /> ✓Provide D��or RPDA' (or CVA's iF downstraam of domestic meteri (or ail lire services. <br /> Provide RPBA on water s�ppiies to heating system boiers,heatpumps, cooiing towers,air conditioning <br /> units. ' <br /> SEND MECHANICAL PLANS FOR REVIEW. <br /> OTHER RE�UIREMENTS: �- � �' �G i� F/s '� " " _`� __ <br /> �3�P �".� f � " -- <br /> AVB = AtmosphericVacuum Breaker <br /> PVBA = Pressure Vacuum Breaker Assembly <br /> DCVA = Double Check Valve Assembly <br /> RPBA = Reduced Pressure Backtlow Assembly <br /> DCDA = Double Check Detector Assembiy <br /> RPDA = Reduced Pressure Detector Assembly <br /> HFVe = Hose Faucet Vacuum Breaker <br /> NOTE: ALL BACKFLOW ASSEMBLIES MUST BE ON THE STATE DEPAFiTME1�T OF HEALTH CURRENT <br /> LIST OF 'APPROVED CROSS-CONNECTION CONTROL ASSEMBLIES' ALL ASSEMBLY <br /> INSTALIATIONS MUST BE INSPECTED AND TESTED BY A STATE CERIIFIED eACI<FLOW <br /> ASSEMBLY TESTER. INSTALL DCVA's AND RPBA's HORIZONTALLY ONLY. <br /> If you have any questions regarding the above,contact: � <br /> Ciry ot Everett Utilities <br /> 3200 Cedar, Everett,WA 98201 I <br /> (206) 259•8821 , <br /> r I <br /> � ..�wman• <br /> � <br /> .s-_ ' er� - „ �.. . ' <br /> 'c. <br />