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�1 <br />P v BACKWATER PREVENTION DEVICE PROGRAM <br />L3 Our records indicate that a backwater prevention device must be installed on your <br />p sever connection to comply with the new ordinance. Plcase help us verify that our <br />w information is correct by answering the following questions about your property. <br />} <br />S d Do you have a basement? Yes X No ❑ <br />O <br />dIf yes, does it have plumbing fixtures (sink, tuilet, oor drain etc)? Yes ® No ❑ <br />ti <br />� Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know X <br />V1 <br />5t�..Do you have a grinder pump in your basement? Yes ❑ No Z Don't Know ❑ <br />1. - 99 / <br />3 o Name: j/I %l L etc <br />6 n Property address, <br />'0 <br />n <br />t—I 3 <br />e�/,)l l u cUo/ Ave �ve✓eM 58ao/ <br />Phone 1 �ya_s) 77G ko.i f Phone 2 <br />Email <br />JR, <br />