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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwater prevention device must be installed r,n your <br />sewer connection to comply vidh the nev! ordinance. Please nelp us veniy tha: our <br />mforma; cn is correct by answering the lollowing quesUons about yow propeity <br />Do you have a basement? Yes�l No � j <br />_ ` <br />If yes. does il have plumbing fixtures (sink, toilet, Floor drein, etc.)� Yes�PJo _ <br />Qo you have a backwater valve on your sewer Pne? Yes ❑ No�on't Knov� ❑ <br />Do you have a grinder pump in your basement? Yes ❑ Ncy�Don't Know ,` <br />Name. —_ �(%� �Ll - -��/� l[-/_ - — — <br />�_�-22�7_ � � <br />Property address � <br />Phone 1 �^/� _q n � Phane 2' <br />tu� � L� - — �� <br />Em��� ___ Cn.wti.�-�•.LGL^-�GZ`R'-L��-.l�Q\..CL'j Ga'/1,1 <br />� � � � :�� <br />;. ;, ;, i <br />_—. .- ' -- --1. � ._ , . <br />