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AG fixtures- +,, toot.ur,41,( <br /> 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 questions about your property: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes't No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No K Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No g Don't Know ❑ <br /> Name: ph,L. 0"'d6 Nson/ <br /> Property address: 362 hit /02S 2 / /I4ic/ <br /> Phone 1: S'02 ; Phone 2: 4I 1-' pt3' J/4/7 <br /> Email: P/fh (re)C45E/WAc;o 7"--Cle/YL <br /> � � r� C7 i s r <br />