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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records mdicale that a backv+ater prevention device must be inslalled on your <br />szvfer connection to comply �vdh Ihe ne��f ordmance Please help us verity that our <br />information is correct by ans�:�ering the (ollowing ouestions �bout your property <br />Do you have a basement7 Yes� No ❑. 1 <br />If yes, does il have plumbing fixtures (sink, tadet, floor drain etc )� Yes� No i] <br />Do you haee a backwater valve an your sewer line7 Yes ❑ No � Don't Kno�v _ <br />Do ynu have a gnnder pump in your basement� Ycs ❑ No� Don't Know ❑ <br />Name: JOi'�N �L ����"`I _ <br />P��pert address �Z".� � M�-�Q�%_L_A, 1 ��f-' <br />Y— - 7 V ----- <br />Phanel`7Z� Z��' U���Q Phone2 - - - <br />L o'�cEmail -- - --- - ---- - — ----- - <br />:.'i--�-'<.� = -- , -� � � . , - -- <br />�� �i 1 k � i i.:�: <br />i , � ` �I � <br />'`6''A.�"�'=' .-_— .r ;i!{i1t_1�i.�tli��l'�1:,�'lit,`.a11i1:,jiJSr,�'�l'.�'1�•��i�:.`I�ti�.�:�Y:.4 �� <br />:� 1 _!1`�':3 � <br />