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i <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Yi�� Our records indicale thal a backe�aler prevention device must be installed on your <br /> se�ver connection lo comply with the ne�v ordinance. Please help us verify that our <br /> iniormalion is correct by ansv�ering the following questions about your property: <br /> Do you have a basement' Yes I/I No ❑ <br /> VJ <br /> If yes, does it have plumbing fixlures (sink, toilet, floor drain, etc.)? Yes�No ❑ <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No� Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No�Don't Know � • <br /> Name: ��L:/�I �� C.�J / <br /> Properly address ��'^�� U��t �� i�� "'�`"vG: <br /> Phone 1: '/�� � ��' �s'�.� Phone 2: <br /> Email: I�OIJICMCjCL! ��T����' ' �Q� <br /> .; <br /> _ ---- �},'��,�f��.t�illl:i1�11f��'�,��'��i����:ik:'��,I�.t3�.�t•.�� <br />