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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate lhat a backwater preven;ion device must be inslalled on the se�ver <br /> - c�nnection at the address identdied on �he enclosed letter. Please help us verity that a.0 <br /> intormation is correct by answering.the folloti�nna questior.s aCout your property. <br /> Do you have a basement� Yes � No ❑ <br /> If yes, does it have plumbing fixtures (sink, toilel, tloor drain, etc )7 Yes (� No ❑ <br /> Do you have a backwater valve on your sevler line7 Yes ❑ No � Don't Know [_J <br /> Do you have a grinder pump m your basement? Yes ❑ No ,� Don't Kno�v [,i <br /> Name: �S�-SH _Sl1R�NA �s S�'�fJ{� Sl� rv-t�� <br /> Propertyaddress: 2. �20 1 I Vl� S�� �����_� ��� "��' <br /> Pho�e �: 2a6 —�15�'�O�_ Nno�e z. �('j�6_��-��-S <br /> [mail: 'r�Q.S� _ SUR�I�1�__@_ �1]Cj11 � � L�YI� <br /> a;',;�f;,�, : � , �:, � �t <br /> .._r:..::' _ . :�: ; � , , , , . <br />