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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a back�vater preveniion device musl be installed on your <br />sevier connection to comply with the new ordinance. Please helo us verity that our <br />inlormation is correct by answering lhe following quesGons about your property. <br />Do you have a basement? Yes j�No ❑ <br />If yes, does it have plumbing tixtures (sink, toilet, floor drain, etc.)� Yes '�No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Knovr � <br />Do you have a grinder pump in your basement? Yes ❑ Nop�l Don't Know ❑ <br />Name.g_��J��---�G�!"��"� " <br />PropeA}� address: �� � � 1 � � �� <br />Phone 1: (�_L' <br />Email: � <br />� . � . .v� ' ' � _� <br />� , •, i � . ._ H . �-�'• ' ---' � ' , l _ �� <br />II.��J� � �._. . . -.� ' • . . ..� <br />