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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our rocords indieste that a beckwaler prevention devfce muat be instelled on fhe sewer <br /> ' connection at lhe address identified on the enclosed letler. Plaase help ua veriy that our <br /> inlortnation is wrtect by answerinp ths followfng queadons rboul your propeAy: <br /> Do you have a basement7 Yet (j�l�O ❑ / <br /> If yea,does it have plumbinp 6xturos(sink,talet,floor drain,etc.)7 Yes B'IGO ❑ <br /> Do you have a backwater velve on your sewer line? Yes 0 No Q Don'1 K�ow � <br /> Do you heve a prinder pump in your besement? Yes � No on't Know ❑ <br /> Ne�„e: l�Ov��in�� Q. Fasso <br /> Properly addmas: (SI Z a� A�., <br /> � Phone 1: \4zS�Z-5 Z - �8�'7 Phone 2: <br /> Emafl: �►r��N�Q.Y�YW�'�0.�� . CO rv� <br /> � •� � � /. ' I ' .�' ,;,� , <br /> — .....—.. T � � � � 1 �' i. <br /> -'"s'�-�— :La•�`���.�:il;:..�:. � �.r__..__Li..��:.. !_1:.�.t_.�._ <br />