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✓ <br />BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate ihat a back�;�ater prevention device musl be mstalled on Ihe se�ver <br />connection at the address identdied on�he endosed letler. Please help us v�rity that our <br />information is correct by ansv:eriny th2 follov.�ing questicns about your property <br />�ir� <br />�o you have a basement7 Yes Nb ❑ <br />If yes, does il have plumbing flxtures (sink, foilet, floor drain, etc )� Yes�o L <br />Do you have a backwater valve on your sewer line7 Yes ❑ No �n't Knov� ❑ <br />Do you have a grinder pump in your basement� Yes ❑ No Jon't Know ❑ <br />Name <br />Property address 3� � <br />Phone 1�� •�� � 1`� 1'd Phane 2' <br />., r-�-�- e,�� � <br />,n. .i/Qi � ...�C�--{ c� �-^ <br />Emaii' sQ�"°�. D ��_ <br />V— <br />��'r ��rv: <br />;i <br />�' � ? • .l L•. <br />..�.1,i��y :9_a'Li:_ . . __ �. �: . . .� ,., <br />