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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our rerords indicate that a badcwater prevention device must be inslalled on your <br /> sewer connection to comply�vith ihe new ordinance. Please help us verify lhat our <br /> m(ormation is correcl by ans�vering the following questions about your properly: <br /> Do you have a basement? Yes � No ❑ <br /> If yes, does it have plumbing hxtures (sink, toilet,floor drain, etc.)? Yes �] No ❑ <br /> Do you have a backwater vaive on your sewer line7 Yes ❑ No �] Don't Knova � <br /> Do you have a grinder pump in your basement7 Yes ❑ No pc Don't Kno�v ❑ <br /> Name: /Yl� .�� . �q t- l-�%I� <br /> Property address � O G � �[� b �J <br /> ' Phone 1: 7;, 5 S 7��'� Phone 2: <br /> -�, .�� r=� i c:, /-1 f1 /VI S � L J�/�_�_L. , C Ui�1 <br /> — - -- �— - � , <br /> � <br /> � � <br /> ,,. . <br /> . <br /> �` -- .�b'..�aa,, �r �� .N� _ 'at'u 1j { r:; �. .,,>L':�i _ �,k �m <br />