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---- -._----- � -- ,. - <br /> � ,_. . <br /> , / <br /> BAC.KWATER PREVENTION DEVICE PROGRAM <br /> C��c records ind�cate Q�at a backwater ,revenho� device �r.ist be msta�ied on yo,u <br /> sewer conneclion �o r.umply with the ne.w ordm.ince Piease help us verdy that uur <br /> �nformalion is correc! by answenng fhe loliowing quesbons about yow proper:y <br /> Do you havc a basemenl� Yr_s�1 No �. <br /> If yes does it have plumbing hxtures (smk, toilet, floor drain e�c )� Ves � No , , <br /> no you have a baca�vater valve on your sewer li�e� Yes ;—I No w Don't Knotiv �J <br /> � <br /> Do you have a gnnder purnp m your hasement� Ves ❑ No f J Uon't Know � � <br /> Name _ lN I l� �Q/Y`n `-�_ I ./C'' �`L�_1- <br /> I'ropertyaddress �O� _ �IV �' ����• ` _ '✓ ""` _ <br /> f'hone 1 `I�7 ���� �� �� f'lione 2 `f�� _ /�� �'� <br /> t,,,��� �h i-� C � � comc a 5+-� �f <br /> q�,�'d'!t_�,(,��,, , .�. ., . <br /> - - •�-- .! —�-'I������i�A�,lil�.t{I71�N�_��:'��:���'�II1al��i�i?±ZKiil:uli�� F.f�� <br />