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BACKINATER PREVENTION DEVICE PROGRAM � <br /> Our records indicate ihat a backwater prevention device must be installed on your <br /> se�ver conneclion to comply with'he new ordinance. Please lielp us verify Ihat our <br /> iniormation is correct by answering the following questions about your property. <br /> Do you have a basemenl? Yes � No ❑ <br /> It yes, does it have plumbing fixtures 'sink, toilet, Floor drain,elc.)? Yes� No �. <br /> Do you have a backwater valve on your sewer.line? Yes ❑ No ❑ Don't K�ow� <br /> Do you have a grinder pump in your Lasement7 Yes ❑ No��Don'[ Know ❑ <br /> Name: V��� � <br /> Properly address: �� ��; 1 _ <br /> Phone 1: ��7 ' ��Z � ����� Phone 2: <br /> Finail: 7✓��LYi�.S �—L L� ' '�'L �:�\�G � ; �.l�i �1/�, <br /> ,� � �� t ��.�-. <br /> i. � <br /> �����u�����:�::���i;��� � �����...:�.�:�z���:: � <br /> . , � <br /> .:. . <br />