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� --- - - - - ✓ <br /> BACKWATER PREVENTIONDEVICE PROGRAM <br /> Our records indicate ihat a backwater prevention device must be in5taliedpn Ihe sewer <br /> connectYon at thc address identi6ed on ihe enclosed letler Please help us verify that our ���" <br /> informalion is correcl by answenng the following questions aboul your property: �apr � <br /> Do you have a tiasement? Yes �No ❑ � �.� �j,�� <br /> � , — <br /> If yes, dces it have plumb�ng fixtures (sink, loilet, floor drain, elc.)7 Yes ❑ No <br /> Do you have a backwater valve on your sewer Iine7 Yes ❑ No �y�Don't Know ❑ <br /> /�r <br /> Do you,have a grinder pump in your basement7 Yes ❑ No �i Don't Know ❑ <br /> Name: �' 'U C� ` �-l�—{-I <br /> Property address: � 1 � b (� O ,/l h � �/ � �t <br /> Phone 1: � J - � v' "I W �PFio e 2: �� . ! -r '� V L.V � <br /> EmaIL �!_(f���Q dV�Gn r� � Ll�f/�G' . G (� l✓I. <br /> . �,, ., ., ,y,� y�,..., - <br /> �.'� , � cIu t �JI ��� � 1l I.��) .�1�i'��! i ,.�IIF(t]:� 'I � <br /> i���71���.hIT����dL%��l��.�!'�..,.'! � �l�hilli.i.Y� J,�,1' <br />