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B�:�KWATER PREVENTION DEVICE PROGRAM <br />��ur rewrds indicate that a backwater prevention device must be installed on your <br />;ewer connection to comply with the new ordinance. Please help us verify that our <br />nformation is correct by answering the tollowing questions about your property: <br />Do you have a basement? Yes �o ❑ <br />If yes, does it have plumbing fixlures (sink, toilet, Boor drain, ete.)? Yes � o❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No j�on't Know ❑ <br />Do you have a grinder pump in your basement? Yes ❑ No Q�Don't Know ❑ <br />Name: I� �1� � �2 D^�- <br />Property address: �� � 7 GR �� ►T �/� <br />` Phone 7: y,17 �b��"�U y-- Phone 2: <br />Email: <br />� � • . •it� � : � � � :��' 1 <br />:!..!'��1� �.Id',l��_i , I ...._ ..J;:iL'_' . __ . . _ �_ ���. �. <br />