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i <br />✓ <br />� <br />BACKWATEFt PREVF�V'�ION DEVICE PROGRAM <br />Our records indicale that a backwater prevention device must be installed an your <br />sewer conneclion to comply with lhe new ordinance. Ple�se help us verify lhat our <br />informaGon is correcl by answering �he fo'lowing queslions a6out your property: <br />Do you ,iave a basement? Yes (� No ❑ <br />I( yes, does it have plumbing fiztures (sink, toilet, tloor drain,.etc.)? Yes �No ❑ <br />Do you have a backwater valve on your sewer line? Yes � No ❑ Don'1 Know j�' <br />Do you have a grinder pump in your basement? Yes Q No ❑ Don't Know [� <br />Name: _ � � �� �����1.� — <br />Property address: _, "119 ��_5���' - �✓'°�� <br />--�- <br />pnone 1'. aD� 'a�� I � /.�'� Phone 2: -- _- — -- --. <br />0 <br />Email: �� � '� <br />Ca <br />I T. ' i ' �' \ K ', -II �`,Ir �1 . . <br />.�.�..w �.i _. .. __.__.��_ �� .....,r i' .. I_.. ` �1 11. . _. .. . _ . ...L. .. . , �. <br />