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' . . . .. • , ' ' �/ <br /> ,,.BACKWATER PREVENTION.Q�VICE PROGRAM <br /> - <br /> � Our records ind�r.ale ihal a backwater preventiun dewce must be installed on yo.0 <br /> seWer connection to comply wdh Ihe new;ordmance Please help us ven(y thal our <br /> information is correcl by answennc� the ibtlowing questions about your properly <br /> Do you have a basement� Yes �No �_� <br /> If yes, does it have plumbing fixlures (sink, toilet, �loor drain, etc )7 Yes ❑ No �� <br /> Do you have a backwater vatve on your sewer line'� Yes ❑ No ❑ Don't Know [-; ' <br /> Do you have a gnnder pump in your basement� Yes [J No [�}'6on't Know ❑ <br /> N 3 f112�.��U�.�Ok'-�-..... --I-�E�.JL'�n i� -- -- <br /> PropcAy address ��('�d,_��'Q�_��('+ <br /> / �Ph�one 1�.!G�,•��.0�-.� F:�_�/�d J Phone 2�. � `, _... � � �,.� (�� <br /> (i(JEi °.� /�2P-C.CP�1 •.��K� �'r� /v`�-..."'��-CF� ��"�-T'i <br /> ed �.Bi��GtL�;G� �t�i—�� . , <br /> - - ,.-� , (.Iil'.-, .-.,- <br /> — — -- - :�i,�b4.�,1 a�1;YL���t� !�,1�.�����yi•;. +;-_�.r!cLti.��� <br />