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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indlcate ihal a back.vaater prevention device must be installed on your <br />sewer connection to comply vlith the nev+ordinance. Piease help us ve�ity that out <br />informalion is correct by answering the followin9 ques[ions about yow property. <br />Do you have a basement� Yes ❑ No'[� <br />If yes, does it have plumbing fixtures {sink, toilet, (loor drain, etc )? Yes � No j 1 <br />Do you have a backtivater valve on your sew�r line? Yes ❑ No ❑ Don't Know� <br />�r•l <br />Do you have a grinder pump m your basement� Yes ❑ No � Don't Know ❑ <br />��(� ��7� �� �.�,h � � <br />Name VI:.iV �-C.J ---- — <br />Property address ��" � " ���ur r � � <br />Phone 1: 0�+� �O� ��� Phone 2��2� � I `� ` <br />Email. C� .VY} V�1., 1 I'�� �i j i�l�''i 51'e � �`. � <br />C!L� Il_����_'�1�,.'VW.�+L ... <br />�,,:�. <br />_,;�; .. <br />