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ti. <br />- �.BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate lhat a back�vater preventwn device mus[ be installed on your <br />se�a�er connecUon lo comply with the ne�v ordinance. Please help us venfy that our <br />information is correct by ansv+enng the (otlov�ing queshons ebout your property. <br />Do you have a basement? Yes u� No ❑ <br />II yes, does it have plumb ng hxtures (smk, toilet, iloor drain, etc )� Yes � No �] <br />Do you have a back�valer valve on your sewer hne? Yes ❑ No �Don'i Kno�v L i <br />Dn you have a grmder pump m your basement? Yes ❑ No [� Uon't I<now ❑ <br />Name: —�_S(� .---� � � }�ljGf <br />Property address Z� �� � t G� _✓ ,r <br />Phone 1�.Z 5� G C/ �� Phone 2: __ <br />Finail: ��—c%-`-'—Ns'I LYl7�•✓ � � .5/U . C O1y7 _ <br />�, <br />— - .,�'--.' ....� --t -'•1 ! --_.._. .. . ._.�._.� _ ... <br />