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., _,. _ _. <br /> _ _ , T;:� � <br /> , . . .<;;ti:. <br /> �., <br /> .. .•., , ,,r,-.;. <br /> . . . . - �•,;.. <br /> _ � BACKWATER PREV�NTION D�VICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> se�.�er connection to comply��+ith lhe neva ordinance. Please help us verity that our <br /> information is correct by ansarering the.follo�ving questions about your property: <br /> Do you have a basement? Yes [�No ❑ <br /> If yes, does it have plumbing tixtures (sink, loilet, floor drain, etc.)? Yes �o ❑ <br /> Do you have a backwater valve on your sewer line� Yes ❑ No ❑ Don't Know [� <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know � <br /> Name: ���!- 1 �// � .�lp, 1=�P1y' <br /> Propertyaddress: �c� v���`l�1 / � �LC�fNU[�� <br /> Phone 1: `�'�'2—�'�— 'I 3 7-£� Fhone 2: <br /> Email: �� _ _ <br /> ., .� . . <br /> � <br /> ik �� <br /> ',.i..a:��� . ,i... — .•- - - - ... _i .. i . .�. <br />