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; .. _. _ <br />� :� �,., : ��, - - <br />, B'A��KWATER PREVENTION DEViCE PROGRAM <br />.J�J�� <br />. '` ` OUr ret;b�as indicate Ihat a backwater prevention device must be installed cn your <br />`.�':''. ;ewer`eLnneclion lo comply wilh the new ordinance. Please help us verify thal our <br />information is correcl by answering Ihe (ollovaing questions about your property <br />Do you have a basement? Yes�No ❑ <br />I( yes, does il have plumbing 6xWres (sink, toilet, floor drain, etc.)? Yes�/, P!c �] <br />� <br />Do you have a backwater valve on your sewer Iine7 Yes ❑ No � Don't Know j_� <br />Do you have a grinder pump in your basemenl? Yes ❑ No �j Don't Kno�v ❑ <br />Name: —! _"����_/=1' lfC>���.�_ �—�___l��l�l 3 n T y <br />J <br />Propertyaddress ���� V (��_M�._ _ _____ <br />Phone 1'��S -i "' � ��� Phone 2: ���__��Y`���� <br />�=�,��� Jc�+c�. 'rv�ar�-���rer. c�t <br />--- �� �;i'i':i liP�,,..- <br />�._,,���!�,�d��i�!��-..�I:I`,���;, ,, ��:L�.��,-��,:,:��l►�.,�,� �! <br />