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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 folio ing questions about your roperty: <br /> ��so have se�,ro�. a oi4ciewatr � �� " <br /> Do you have a basement? Yes 'C] No ❑ VOA E. Obi;; c6u0tl9 Pal/1'co�w�N <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes y No ❑ µ' <br /> Do you have a backwater valve on your sewer line? Yes S No ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No $ Don't Know ❑ <br /> Name: W' B, 1:e�11 �p <br /> Property address: 1125 4/ i N AUCl EU EF"Crr <br /> Phone1: 425 25q 11Z5 Phone2: 4Z5 244O36z <br /> Email: . 65iIIQl1 .@ cvni st• n4-- <br /> v?F: <br /> `�'L�� _,� iYa .. <br />