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i . . <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate Qiat a back�vater prevention dewce must be instaHed on the sevler <br /> connection al the address idenlified on the enciosed letter. Please help us venfy that our <br /> in(ormation is correct by ansv:ering the foilowing quesUons about your property <br /> �•� <br /> Do you have a basement? Ye�/I�l No ❑ <br /> _� <br /> If yes, does il have plumbing fixtures (sink, to,let, floor drein, etc.)? Yes� No ❑ <br /> Do you have a backwater valve on your sewer line7 Yes (� No ❑ Don't Know!'6d� <br /> �.-1 <br /> Do you have a grinder pump in your 6asemapi? 'Yes ❑ No ❑ Dodt Kno�vr� <br /> �, \ <br /> Na�ne, ��"v' �.�. ' 'ZL+y7 - <br /> � <br /> Property address ( s� I 1���0 a .. <br /> Phane 1: �I�S l• l(l �L�,� Phone 2: <br /> [mail ��L�� ! !�C)�l�,L�� (j� l. - �- — --- <br /> � <br /> I �/ tkI I'1'•{9! (� �q I �I�.—.,— <br /> �'L�i�����LiNG�11'31:�r!Si(.Ji ti1�1� ',j���� � .y+ <br /> l:t ;;��'r - 1��l:t.4,.�:� . <br /> � <.�t , , <br /> �,��� , .. . <: <br />