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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address ideniified on the enclosed letter. Please hel� us verify Ihat our <br /> informalion is correct by answering lhc (ollo�ving questiuns ahoul your property <br /> Do you have a basemenl? Yes � No ❑ <br /> I(yes, does it have plumbing fixWres (sink, toilel, floor drain, etc )? Yes [�`No ❑ <br /> Do you have a bar.k�vater valve on your sewer line� Yes ❑ No ❑ Don't Know � <br /> Do you have a grinder pump in your basement? �es ❑ No f�J Don't Know ❑ <br /> Name���l� STi/L�/�� _ <br /> Property address ,.��3/?�.LQG�,���.:L1.F��J'G' <br /> Phone 1��s?�-,�S%/� Phone 2 �:pl s!�D�/�6 <br /> [ma il:,,�ii_/_�i�T1.���L�5�—�-5_��!�yJ <br /> � �� <br /> � � <br /> .i�.,tU�i�.l .;'.:�..:1:c . 1 �.� -'.�. .. i .,__.1..,..'L_.i . <br />