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� <br />BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate Ihat a back�valer prevention device must be installed on your <br />•"sewer conneclion lo comply with the new ordinance. Please help us verify that our <br />information is correcl by answering the tollowing questions ahoul your property: <br />Do you have a basement7 Yes� No ❑ <br />If yes, does it have plumbing fixtures (sink, toilel, floor drain, elc.)? Yes� No ❑ <br />Do you have a backwater valve on your sewer line? Yes � No �Don't Know ❑ <br />Do you have a grinder pump in your basement7 Yes ❑ NoQ� Don't Know ❑ <br />.� <br />Name: �� l�! /��_%�.�' v <br />Property address: ��/�_J_��r.^ �� � �� r ' v�r <br />� Phone 1: ���-���Phone 2: <br />Email: <br />- � ; �, t,..; .. • <br />�^ . •- � ' • i:f, �. -� ' ; �i � � :1) . � <br />� <br />, <br />. _� . . ,. . , �� - � . <br />. . . �.. �. . .. ",. _... ...-- <br />� <br />. . —_____.i_ .J::.--`�•� ...._.�.� . ..r..;._ . _ __ ., <br />