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� <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate Ihaf a backvdater prevention device must be inslall�d on the sewer <br /> connection at lhe address ideNified on Ihe enclosed letler. Please help us verify that our <br /> informalion is wrrecl by answering lhe following qucstions about your property: <br /> Do you have a basement? Yes (3� No ❑ <br /> it yes, does il have plumbing fixtures(sink, toilel, floor drain, etc )? Yes'�Q No � <br /> Do you have a 6ackwater valve on your sewer line? Yes � No ❑ Don't Know �] <br /> Do you have a grinder pump in your basement? Yes ❑ No �J Don't Know [� <br /> rvame: ��l �_{' [ ��G� — <br /> Property address �U �C /� � � <br /> F'hone 1: �DI� 7G �''� Z�Y� I'hone 2: �� 35 / ��S`P <br /> Finail — "�L'S C���Y���!ST r_!� _��------- <br /> ---- - <br /> — - �, <br /> I . -,.,._ ___�� -- .�_.._ ._ <br /> E�� _ .arno <br />