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BACKWATER PREVENTION DEVI�E PROGRAM <br />Our records indicate lhal ,e hackwater prevenlion device musl be installed on your <br />sewer connection to comF ly wilh lhe ne�v ordinance Please help us verify that our <br />informaticn is correct by answering ihe following questions about your property: <br />Do you have a basement? Yes�ZJ No ❑ <br />If yes, does il have plumbing tixlures (sink, toilet, floor drain, etc )? Yes ❑ No � <br />�o you have a backwater valve on your sewer line7 Yes ❑ No ❑ Don't Knov✓ � <br />Do you have a grinder pump in your basement? Yes ❑ No k] �on't Know Cj <br />Name: tkxlvl 1�V1/�C� . <br />� -� ��, <br />Property address �� � Z �L�' V�-• --- <br />Phone 1- (���J L�B J J__ Phone 2���Z� ���-, -^T'-� � <br />Email: <br />�_�.� A.a-%.:J �111: � . � I�. I�.'.1't'_' ���'`1 I •I ' "'��:�._.L`ll <br />✓ <br />