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l <br />/ <br />BACKWATER PREVENTION DEVICE PROGRAM <br />Our records iridicate that a backwa!er prevention device must be installed on the sewzr <br />conneclion at �he address idenlifed on the enclosed Ielter. Please help us verify th��t our <br />information is correct by answering he following questions about your property: <br />Do you have a basement? Yes � No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet floor drain etc.)? Yes [�] No ❑ <br />Do you have a backwater valve on your sewer i��e? Yes ❑ No � Don't Kr ow ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No �� Don't Kn�w ❑ <br />Name: �� �� �•'W�� <br />PropeAy address: � d � �— �� �� rO� � - <br />Phone 1: �l� 3 v� r� I 6 1 Phane 2: .. <br />Email: `^'� IND(�l 626 y4�U� - �py� <br />( - . ����'{�'p�i` �, i mf�,. . <br />:,.��t::i��.y :;ili:±:�`�..��i i".::1�: �1�L: la.i�.'.:!�'�i.�� <br />