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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate thal a backwater prevention device musl be installed on your <br /> sewer conneclion to comply wilh the new ordinance. Please help us verify Ihat our <br /> in(ormalion is correct by answering lhe following questions about your property: <br /> Do you have a basement? Yes� No ❑ <br /> If yes, does il have plumbing fixWres(sink, toilet,floor drain,etc.)? Yes'�j No ❑ <br /> /` <br /> Do you have a backwater valve on your sewer line? Yes ❑ No 0 Don'I Knoa� � <br /> Do you have a grinder pump in your basement7 Yes ❑ No ❑ Don't Know�{ <br /> Name� �,d-� Q..'1 �5�1-c1�(l� IS—111��C�� -� � �.\V`�j <br /> � <br /> Property address: _� ���_ � 1�ee ��V� <br /> � c?�r�c��o,��\ n llq ( I�t�C'�-n) <br /> ' Phonel: �e�-' ����e� �Z��Z_ Phone2: J�nU � '�'l I� 1 l <br /> EmaiC ������.c����r��� � �aC�\cL�,, , C•a�'V� <br /> . `, - ;;`�s`;' . <br /> _ , . — . • . ��, - .,, .,� . . . <br /> � <br /> �-..� . . , . •-;. <br /> „ <br /> .._ .. . . � � .. � ,1 ' . : <br /> - � _.:_.:�� �.:.L �. . �. ... .. �_ . __.'-� � � t.:- � . . .. <br /> �L--- '- --- '_' � <br /> . . .'.^:.,. . <br />