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/ <br />� <br />BACKWATER PREVENTION DEVICE PROGRAM . <br />Our records indicate that a backwater prevention device n ust be installed on your <br />sewer connection to comply with the new ordinance Please help us verify that our <br />iniormation is correct by ansv�ering the follovaing questions about ycur property' <br />Do you have a basem�nt� Yes ,� No L <br />It yes, does it have plumbing 5xtures (sink, toilet, floor drain, etc )� Yes ❑ No ❑ <br />Do you have a backwater valve o� your sewer,line? Yes ❑ No �❑ Don't Know � <br />Do you have a grinder pump in your basemenl7 Yes L No �i Don't Knovr ❑ <br />Name: S_p�/1'j �1' $ Q i� <br />Property address 3� Z� o a'�� �JI� <br />Pnonet.'f25-Z/0-7040 Phone2: �I2S-93I'%��� <br />Email ,�a m_Qn IR�� Q I/ G%�__ -- <br />.�. � T „,t j 1 <br />{��� 9 �� + <br />:J�i1±i��.i��t:�k�G11L �.:�%4f L�_: cl`-'L'`��.�ii `.h: <br />