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_ . �_ ,. .:_ ,,_ <br />,,_ . , <br />,. _ , . <br />a"1': . . . . .l42:.`; • <br />.�.:'�{��,[. <br />BACKWATER PREVENTIOI�LpEVICE PROGRAM <br />_ �: ,z.� - <br />• :.-�;,•* <br />Our records indicale that a backwater oreVehhon device must be installed on the sewer <br />connection at lhe address ider�tified on the enclosed lelter Please help us verify lhat our <br />information is correct by answering the following queslions about your propeAy: <br />Do you have a basement? Yes� No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes �No � <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know �( <br />Do you have a grinder pump in your basem nt� Yes ❑ INo ❑ Don't Know � <br />�r� � ��-�1' <br />Name: <br />Property address: I � ' � `� � "1 � �� � � � <br />� Phone 1: �� �� Phone 2: <br />Email: � � / � � w � �� . C�� <br />ld'w1d��Y:it��ilL'.1.,. i. i ; .:!':�+t���'i.i ; _ .:.iJ.iil.1:. <br />