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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewertonnection 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 LiNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ILle <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know LIB <br /> Name: A�l'e'e es. hi\.L-a ie harts <br /> Property address: 236 (7 QA4e, Everett-9 4201 <br /> Phone 1: las S3 V 4 q 3o Phone 2:4 5 a 5 6 " 3.9 3.1 <br /> Email: t A ,a Q ' ClY a.1100.eaYY1 <br /> - • <br />