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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate ihat a backe�ater prevention device must be installed on your <br />� se�ver conneclion to comply er.th lhe new ordinance� Please help us veri(y ihal our <br />informalion is correct by ansvenng the following questions about your property: <br />Do ycu have a basement? Yes � N� <br />II yes, does it have plumbing tizWres (sink, to�l?t, floor drain, etc )? Yes� o� <br />��.. <br />Do you have a backwater valve on your se�ver line'% Yes ❑ No � Don't Know ❑ <br />Do you have a gnnder pump in your basement7 Yes [ No �] Don't Knoiv ❑ <br />Name _�AQ� ��Vt��'(�Y <br />Property address �_�1G� �V C�« ���� <br />Phone 1: ��ZSZ �_�? �'��one 2 Z.OIp C4 � U CA.�O ��O <br />[mail: _ C G.C�`�`�_� <br />•- —. -r"—"- - ---- <br />