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-L:t�:���,� r! �_ <br />BACKWA'f�F�%f�EVENTION DEVICE PROGRAM <br />�`� ci��{� ':t-=D <br />Our records �oa{e;tt�al a backwater prevention device must be installed on your <br />sewer conne�hoii to°comply wlth the nev� ordinance Please help us venfy thal our <br />intormation is correct by answenng the following questions about your property <br />Do you have a basement� Yes �o ❑ <br />If yes, does il have plumbing fixtures (sink, toilet, floor drain, etc.)7 Yes �❑ <br />Do you have a ba�kv�ater valve on your sewer line7 Yes ❑ No ❑ Don't Know � <br />Do you have a grinder pump m your basement� Yes ❑ No ❑ Don't Know � <br />Name. <br />Property address ? �? Col�i��V P <br />d/ <br />� Phone 1. �(,_V ' %02 �' .)'��� Phone 2 <br />Email _�jf��L cZSco��`���cyjyn •. <br />� ._ _.__�_ ...._ _ <br />., <br />- -- - _ r _. .! .. __. , �. n <br />