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-� ..� ,. Z�.-.!' � .��: '.a� b <br />/ <br />� ( r . t � . . , 4 � � ✓ <br />� '�� �„BACKWATER'PFEVENTION,DEVICE PROGRA,M <br />Our records indicale Ihat a hackwater prevention device must be instaiied on the sewer <br />connection a1 lhe address idenlified on the enclosed letler. Pleasehelp us verify thal our <br />information is correct by answering ihe following questions aboul your property: <br />a�v� n. NAD <br />Do you have a basemenl7 Yes� No ❑ pr1 L� �i �R� 1J�� � <br />If yes, does it have plumbing fixtures (sink; toilet floor drain, ta)? Yes ❑ No w�.ry� <br />� �o F�X>uR�ka�S _ <br />D you nave a 6ac ater valve on your sewer line? Yes ❑ No [] bon't Know�7Q ��,�2 <br />Do you have a grinder p�m� in your basement7 Yes No on't Know ❑ �n�, // , I Q <br />. �dK,t<._ �l f <br />Name: _1��1 �l� ��L/��'7 _ — <br />Property address ���� —/ % �" �� <br />�'J /�� <br />Phone 1. ��— �� + =� Phone 2: �� ,�-✓ � ���/ <br />Email. — �1�. // � N,I/I � ��� �=�/�-1��--�►' ` �1/Vt �—� <br />„��[�l+I���t�dh.i:�;;:1: it�l�'4yJi�r ��I�,_���,�Lti.4��e <br />