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BACKWATER PREVENTF 4"'�'Y.iye DEVICE PROGRAM <br /> Our records indicate that a backwater"prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter.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 koivo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes le No ❑ <br /> Do you have a backwater valve on your sewer line? Yes LI No Don't Know,❑ <br /> Do you have a grinder pump in your basement? Yes No LI Don't Know LI <br /> Name: RO6F.2'r tccie4s7RC AA <br /> Property address: a.off 6.gigkAJD <br /> Phone 1: 426.L—a:,0-33$'et Phone2: a,b6SSZ3 — 7!4-4" <br /> Email: kob.._.6oa.ksflrao ee,G+crt-44ai/ eat <br /> s <br /> 777 _.._ t`��t�p <br /> c .s F,�,' `4:.§�2�W`�' Y'�'§rSm�d �� ��.¢Cdt4�"` �_ 1,a$1°_ <br />