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� � Inr.t.� t:� b°�-�`�o�e-✓- .lo• �P cs�n w� �(,o o� <br /> �f r�.� � <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the a�ldress identified on the enclosed lelter. Please heip us verify that our <br /> informalion is correct by answering ihe following questions about your property: <br /> Do you have a basement? Yes {�No ❑ �,✓�J �i � <br /> If yes, does il have plumbing fixtures (sin oile , (loor drai , etc.)? Yes�No ❑ <br /> Do you have a backwater valve on your sewer line? Yes 0 No ❑ Don't Know� � <br /> Do you have a grinder pump in your basement? Yes ❑ No � Don't Know ❑ <br /> Name: � �i-G'J� G.?f��nit7 <br /> Property address: _� � � �_2 r O C� �� � �] <br /> Phone 1: �_� �� ���hone 2: r _ <br /> Email S � ` �'"�/� � `�,� � �i.T�n C'•���_• �Q-1 <br /> .,�. � . <br /> ''1 � <br /> .ei,�1.LL.i..a ..�t.,�1�6. ... . ., u! �7F ��.�. N_ -. .. ...n)..:.1 . ��t � <br />