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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwate� e�evention device must be installed on your <br />sewer connection to comply cnth the new ordinance Please help us venfy that our <br />in(ormation is correct by answering the'following questions about your property <br />. ,'.. ..'�, <br />Do you have a basement? Ye�\Na�❑ <br />i v <br />If yes, does it have plumbing fixtures (sinK, toilet, floor drain, elc)� Yes�No ❑ <br />Do you have a backwater valve on your sewer line� Yes ❑ No [; Don't Kno�y�„ <br />Do you have a g�inder Pump in your basement? Yes �] No ❑ Ilon't Knowj�, <br />Name _�'��N �`�`�N'�%� I�l� <br />Property address. � �� � � 2 ��N� AJ �. <br />Phone 1: �� " �� �" -�ST� �'hone 2. <br />Email ___ _ <br />� <br />i,��I1;i�E� { L �' <br />•:e? �tl:!it�,�f.P tE�lia�i <br />