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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicale that a backwater prevention device musl be installed on lhe sewer <br />connection at the address idenUfied on the enclosed lelter. Please help �s veri(y that our <br />intormation is correct by answer,ng the follov�ing ques6,,ns about your property. <br />Do you have a basemenl? Yes [�I�o � <br />If yes, does il have ptumbing fixtures (sink, id�T, flooi drain, etc. � Yes j�No ❑ <br />Do you have a backwater valve on your sewer line? Yeg� on't Know ❑ <br />��� <br />Do you have a grinder pump in your basement? Yes �� o[�n't Know ❑ <br />Name: ,�'"�P�VC 1j-�0.u��✓le_. �Yv�ifil-i. <br />Property address. �p� � � � �d � l' �J � �a� , <br />Phane 1.�5_�3S"/ �16 �Z Phone 2�ci S' F1� 70 • S�S <br />Email. �_u �_n t��' f��Y1 Ll, V'S�ii�s' l'1 „G C� V1ti. <br />--�— — <br />� � � n �:� r �•,K I <br />•� <br />„��:I,4�:�!�, .1:i_?>.:'e�t i'' �.4�:� : %��:�:t.ii.L; <br />