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BACKWATER PREVENTIONbEVICE PRC)GRAM <br /> Our records indicate that a backevater prevention device musl be installed on your <br /> sevder connection to comply wilh the new ordinance. Please help us ve�ify that ou[ <br /> information is correct by answering the following questions aboul your property: <br /> Da you have a basement? Yes� .No ❑ <br /> If yes, does it have plumbing (ixtures (sink, toilet, floor drain, elc.)? Yes� No (� <br /> Do you have a backwater valve on your seever line9 Yes ❑ No ❑ Don't Know �l <br /> Do you have a grinder pump in your basement7 Yes ❑ No � Don't Know � <br /> r <br /> Name: ��.Z1 GHn � � G�.1ic, J" �<'-fil�w�._ <br /> Property address: � ��7 � S �� ST: <br /> Phone 1: �Z'S' G`�-3- �3G � Phone 2: ��"�.�-� ' DC� <br /> Email: �CI � b �U��T l �_, �.X��� <br /> , � r , � <br /> i��I,.���:1d�t11,L:�,1_i;:r''��t�"' ';�'�i��...��:-�+M'.1;8:�:1 i <br />