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BACKWATER PREVENTION DEVICE PROGRAM <br /> ;.; . . ;� . � <br /> Our records indicate that a back�ualer.prevention device musl be installed on your <br /> sewer conneclion to comply H�ilh tfie ne���ordmance. Please help us verity that our <br /> informalion is conecl by ans�vering the tollo�ving queslions about your property: <br /> Do you have a basemenl? Yes �}-No (_] <br /> If yes, does d have plumbing tixtures (sink,toile�, Floor drain, elr.)7 Yes�] No (� <br /> i� <br /> Do you have a backwaler valve on your sewer line? Yes � No ] Don't Know�Q <br /> r� <br /> Do you have a grinder pump in your basement? Yes ❑ No � Don't Know � ` <br /> � ^ � � ��{�./ �y A / .� <br /> Name: �����%�1�=�= '-1=- �-�"".—p <br /> � I -l�� l <br /> _c�, � iz� �.�c� —� <br /> Property address: _�- - _� E----' <br /> Phone 1:�1�-S��� � � b O _ Phone 2: _— — <br /> [mail 1�.+-WLII L`C.L 1- ��l_-�1'�N•CcJ��, <br /> . t �}Y� � .� <br /> �__ _ _: ��j ::i --, _ . ' _ ' �., '. . . -.!...,� <br />