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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance. Please help us verify that our <br /> information is correct by answering the following questiors about your property: <br /> Do you have a basemenl? Yes � No ❑ <br /> If yes,does il have plumbing Fixtures(sink, toiiel, floor drain, etc.)? Yes S No ❑ <br /> Do you have a backwaler valve on your sewer line? Yes 0 No � Don't Know ❑ <br /> Do you have a grinder pump in your basement7 Yes ❑ No � Don't Know ❑ <br /> Name: ST�V� �rki��N�i <br /> Property address: � � �Z— �''��.� �'� /�t�r <br /> Phone t: � k�S • ZG�y Phone 2 <br /> Email: S1k� �.pIN(� `e D(��GS—IASA• GUlrt <br /> , , <br /> ,.-_...r._-.-._. <br /> _ , <br /> . - ; . , ,� <br /> � . <br /> - .,._. . __. . __._-___._ '..� .��..... . . ._'."_'. .. .. . __�. . �..._. :.. � . .�.: �.�:.t.i�: <br />