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I <br />BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backvdater prevenUon device musi be insta!led on the sez�er <br />connection ac the address idenUred on the enclosed letter Please help us verify that our <br />inlormation is correct by answering the following questiocs aboul your property: <br />Do you have a basemen;7 Yes�No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)9 Yes�j No ❑ <br />Uo you have a backwater valve on your sevrer line? Yes [] No ❑ Don't Know � <br />Do you have a grinder pump i� you ��asement? Yes ❑ No ❑ Don't Kno�v � <br />Name �,.�[�_�6.Ld�� ��� — — - <br />`.� <br />Property address: � y� ��'"'� <br />Phone 1 ����y�����Phone ?_ �I�,�� � '�� y? <br />EmaiC _------- - - __ __ — <br />` _ • _ _ --� '', � ��' __ `..�1I ..._---.� .,��,���.. _L_�. �,'_5:�0 <br />�, - � _�.:�� <br />