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� , . -- . , <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records ir,dicate ihat a backwater prevenlion device must be installed on the sewer <br /> connection at the address identified on the enclosed letler. Please help us venfy lhat our <br /> mlormalion is correct by ans�venng theYollowing queslions about your property. <br /> Do you have a basement? Yes� No ❑ <br /> If yes, does it have plumbing fixWres (smk, toilei, floor drain etc )� Yes� No ❑ <br /> Do you have a backwater valve on your sewer line? Yes C� No ❑ Don't Know�C.�v.r..����t,. <br /> Do you have a grinder pump in your basemenl� Yes ❑ No ❑ Don't Know� <br /> Name: SOi>yG��Uh ��l + O�SOn ml��'�`n0� <br /> Property address: �j 1� �U� ' `�'�C <br /> Phonel: �509� � Z$—�O$� Phone2. <br /> Email ��J�V C,_�. �nSv ny q_l�Yh� . <br /> T '.N'I i� :i�j�.�n.:�• , — � <br /> • ' '_ " '��!l�n��`,ll��.�,1 .�1,�15.�i'' f4J�1'.,L�'11:111�.a''� 4,. ,: ' i' <br /> -- - -. .---- - _ __-- - I <br />