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BACKWAI'ER PREVENTION DEVICE PROGRAM <br />,.;; r �,.,:'r <br />�.. <br />Our records indicate Ihat a back�va�er prevention device musl b� irtistalled on your <br />sewer connection to compty v+ith lhe new ordinance. Please' hefji'us verify Ihat our <br />information is correcl by ans�vering the following questions ahoul your property: <br />Do you have a basement? Yes'�i No ❑ <br />If yes, does it have plumbing fixlures (sink, toilet, floor drain, etc.)? Yes� No ❑ <br />�o you have a backwater valve on your sewer line? Yes � No 0 Don't Know 15Q <br />1"_'� <br />Do you have a gnnder pump in your basemen[? Yes � Nc � Don't Knew� <br />Name. _�LKLC.�- �' . � �..� �o <br />Property address: � '— _ i--'--��:t"C'�'"" � �� <br />Phone 1 � �� Phone 2: _ <br />Eroail. <br />i <br />'.I <br />, •�,�; '. ,. <br />�. ., �,�ni;� , <br />.. ...�,. :! ' :.. . .. . . . ... ....:.. ... . <br />