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B C KWATERV VALVE E PECI OA,, <br /> ✓/ 4�f 3 SS� <br /> CHECKLIST <br /> 040) '-I9o- 77(do <br /> Property Address: 20 10 Rock e{ee.I/.eA✓ I4 I <br /> BWV inspected by: L- J oihCru-E-/ Date BWV was Inspected: : <br /> 14111 f, wk c. W e o E °fi g' a-ll dolt' - 1t/6 ant 6,411 <br /> snwervi u.. ctmr <br /> inspection Checklist �Q F W►tSS G(( —Vt° l ' <br /> Are all downspouts and site drainage disconnected from upstream of the BWV? V1 Yes n No <br /> Comments: 5 c -t 4i5 ovwcfc f <br /> Does BWV positioning meets minimum slope requirement of>1%? Yes No <br /> Comments: <br /> Can BWV be accessed for inspection and maintenance? Yes n No <br /> Can BWV be secured into the proper position? (—I Yes n No <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 No. <br /> Does this BWV require repair or replacement? E Yes n No <br /> Comments: <br /> Inspector's Signature: Date: <br /> Revision: 2 Tuesday, September 23, 20124 <br />