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BACKWATER PREVENTION DEViCE PROGRAM <br />Our records indicale Ihal a backwater prevenlion device must be installed on your <br />sewer conneclion to comply �vith the new ordinance. Please help us verify lhat our <br />informalion is �o�rect by ans�vering the•following questions about your property: <br />Do you have a basemenl? Ye� ❑ <br />If yes, does it have plumbing fixiures (sink, toilet, tloor drain, etc.)? Yes No�[ � <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't now h�" <br />/� <br />Do you have a grinder pump in your basemenl, Y ❑ No�on't Know ❑ <br />Name: �1 Q�/���� � " `� � � <br />Property addresx 1 Sl � 1"�� `.— <br />Phone 1 �C_1:�� �� �� Phone 2: <br />[mail: �qUl�.��l w_SI.M��_l`T�.�v_l�l�� � �CO� <br />`� I �1 ;�T11� lil�' <br />t.� rJ.� L• _ .��_mi. � �.�i .. _...J...: L_ <br />