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, � <br /> BACKWATER PREVENTION �?=VICE PROGRAM <br /> Our rewrds indicale lhat a backwater prevenlicn device must be installed on the sewer <br /> conneclion al the address idenli5ed on the endi�sed letter. Please help us verily thal our <br /> information is correct by ansvderin�Ihe following questions aboul your properiy. <br /> Do you have a basemenl? Yes �!I No ❑ <br /> �T' <br /> If yes, does il have plumbing hxtures (sink, toilel, (loor drain, etc.)? Yes � No [] <br /> Do you have a backwaler valvc on your sewer line? Yes ❑ No [] Don't Knaw� <br /> Do you have a grinder pump in your 6asemenl? Yes �J No� Don't Kno�v [�] <br /> // < i n ��yQ <br /> ^ �� <br /> Name: ��N L ���L`J _/�/!� f7�— -- — <br /> Propertyaddress ���_V ��'�8" /����� . <br /> Phone 1. �z� �b� �1J J�__ Phone 2 _ <br /> Email� _ J:iG,'/,� l�'� C/�Lip��COLI� . �'0��1 ._ _ <br /> ! (/ —s <br /> --- -- --���,�.����Ll��.,.i�ii.4.��U�����}�� �k,�,,, �-� �`j.W tt. <br /> en � n rt 1 1 1' I � 1�����La�'1���.�� �1t1.1�.�F��� � <br />