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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate ihaf a backwater prevention device must be installed on your <br /> sewer connection to comply wilh ihe netiv ordinance. Please help us verify lhat our <br /> informalion�s correct by answering the tollowing questions about your property: <br /> Do you have a basemenl7 Yes � No ❑ <br /> It yes, does it have plumbing tixWres (sink, toilet, (loor 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 basement? Yes ❑ No �,Don't Kno�v n <br /> Name: _ ��" �O� P@ 1' <br /> Property address' Z I I —I VVC''1 11'7 U'�L �� U� - ------ <br /> Phone 1:'�"2�• 2�Z, zZ�_ Phone 2: _ <br /> Email: - <br /> . . . - r � .I � „ <br /> � . .� ° .. .... �---'.o ._ ....� _._ _. ... . . ` .- � . _ ..._� �_..:'_._ <br /> — -L`---'- ' _ -- _ <br />