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. . J <br /> BACKWATER�PREVENTION DEVICE PROGRAM <br /> Our records indicate thal a backwater prevention device musl be installed on your <br /> sewer connection to compty with the new ordinance. Please help us verify that our <br /> information is correct by answering Ihe following questions about your property <br /> Do you have a basemeM7 Yes I�jj/No ❑ <br /> If yes, does it have plumbing fizlures inl toiiet, floor drain, etc.)7 Yes No ❑ <br /> Do you have a backwaler valve on your sewer line? Yes ❑ No ❑ Don't Know [T� <br /> Do you have a grinder pump in your basement7 Yes ❑ No .❑ Don'1 Know ❑ .3yw.���,� <br /> Name: Edythe Ann Pavish t <br /> 1322 Grand Ave. <br /> Everett, WA 98207-1606 I <br /> Properiy addre _ . , <br /> Phone 1: S• RS�- U k S3 Phone 2: _ ��S • S10 I • e�19� <br /> EmaiC - — <br /> ' ' ,Tq � :. . � . <br /> ' - -�=.�..; i�'l�<<�I�t1l;3fudSll� ���,� {ti'�����' '1tr�l'��<<'_:j:.�!L;�.Ic�il.ha.6.L+ <br />