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� •� . <br /> BACKWATER PREV,ENTION DEVICE PROGRAM <br /> Our recorps indicate ihal a backvtater prevertion d�vice musl be inslalled on your <br /> se�ver conneciion to cemply vrith the ne�4 ofdinance Ple,�se help us veri(y that our � <br /> information is correct by answering the folloeving quest�ons ahoul your propeii, <br /> po you have a basement7 Yes �Q No L�,\ , <br /> � <br /> If yes, does it hae'e plumbing fixtures (sink, toi et, floor drain, etc )� Yes }( No �I <br /> Do you have a back�vater valve on your se�ver line7 Yes � No ❑ Don't Know �( <br /> Do you have a grinder pump m your basement? Yes 0 No ❑ Don't Kno�v � <br /> Name ��� I��� ,. C�I`= �r -- <br /> Property address ��_.�_?__�\ I_`�'�_ _ __ . <br /> Phone 1 �t a 5 a sa���t c� Phone 2. <br /> t_�,,:�� S ��E met-z(o 'L C�, ���Up.� [(�►'� <br /> ny� �r}'r1 �. , — <br /> ' _ -_.. __-_ �i��i.���l��._�J�%��]��.��: .�.��I!t��jl11.IC1I(��1;il��a�l1��.1�!' �:�� <br />