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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate lhat a backv�ater prevention device must be installed on your <br /> sewer conneclion to comply with the new ordinance. Please heip us verify that our <br /> informaUon is correct by answenng lhe follo�•oing queslions about your property: <br /> Do you have a basement? Yes � No ❑ <br /> �f yes, does it have plumbing fixtures(sink, toilet,floor drain, etc.)7 Yes � No ❑ <br /> Do you have a backwaler valve ony our sewer line?J'es ❑ No ❑ Don't Know �J <br /> .�SUMY �v�� oAn. . <br /> Do you have a grinder pump in your basement? Yes�❑ No ❑ Dan'1 Know ffi <br /> Name: ��On/,4r2D �oGi-a0��1 <br /> ' Propertyaddress� ��U� ' ���� ST �/GQET'�9�1e��� <br /> f?hone 1: y�� ' 1��"���"s Phone 2: . <br /> Emaii: ___ <br /> . . .,.i� , , . i,, ,�,�{i r��. .. <br /> ' ' _ -7 ���i:it(i`_�J,Y,��.9E��!�igie..i.�:€�.ti]r' �CN�, .."J:�Jilii�!.i�,fi � <br />