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vnausr9�a1 du.ro duvat1G'-. <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 tg No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have1a grinder pump in your basement? Yes ❑ No Nr Don't Know ❑ <br /> Name: 1..0 rv\ <br /> Property address: SS vrpr And e„-- � t g10 1 <br /> Phone 1:425-252- 0 3 Phone 2: 4ZS-2.�'1— 4���t <br /> Email C���j I'0►4 V 3t.J w ��p yVi. <br /> pps <br />