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4r T <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicale that a backwaler prevention device must be installed on your <br /> sewer connection to comply with lhe new ordinance. Please help us verify that our <br /> information is correcl by answering the tollowmg questions aboul your property: <br /> Do you have a basement? Yes � No ❑ <br /> If yes, does il have plumbing fixtures (sink, roilet,floor drain, etc.)7 Yes �' No ❑ <br /> Do you have a backwater valve on your sewer Cne? Yes ❑ No ❑ Don't Know � <br /> Do you have a grinder pump in your basement? Yes ❑ No �Don't 14iow ❑ <br /> Name: �_v_S S C� V _/�"R rSo ry <br /> Property address: ��_�_/`�vl��I� YG � liNGN�N��O� <br /> Phone 1:�j� �'�1 '" 0� Phone 2: _ <br /> Email: ��_,r Q/' i�i Q GC�Mf� ( �1�� . Il E� <br /> - . � � ' . ' � � <br /> .. . . , <br /> . <br /> � - . � � . <br /> �t__ ' .. , � . ___ __ � _, . ..- <br />