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..;�: : . <br /> ,_,� . <br /> : , . .. <br /> ;..3-; :' BACKWATER PREVENTION DEVICE PROGRAM <br /> Our�ecords indicate that a backwater prevent �evice must be installed on your <br /> se�ver connection to comply�vith the nev�ordir-.nce. Please help us verify Ihat our �<<)� <br /> information is correct by answenng the following questions about your prope : rS .t <br /> ,3�;. � ev�,� <br /> Du you have a basement? Yes �. No ❑ �i4� L �� �1 <br /> If yes, does it have plumbing fixtures(sink, toilet floor drain, etc.)? Yes � No ❑ � ��V ' <br /> Do you have a backwaler vaive on your sewer line? Yes ❑ No ❑ Don't M;no�v �J � <br /> �,,u�v,�IJ� <br /> Do you have a grinder pump in your basement? Yes ❑ No �[] Don't Knovr ❑ r� � <br /> � <br /> Name: �A�J t �iT�l� c'�-` <br /> Property address: <br /> � 5 Z� �'�c c.k�„�. ,� y °��� <br /> ��o�ti `x u1 <br /> Phone 1: ' Vl� - �7�'- .SU7p� Phone2: S�L 5"%277- )��j� <br /> Email -- `� o�/�C'�F ��,� GU1='7C 4IY', /?�-- <br /> � nr. p�� . <br /> � <br /> .�f,: w.�,� .ri:l,!a.., � ' ,?��, ��J . .,..J..���,_ a; . . <br />