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41 <br /> %) p..-J o as can Es Y at P t.F� 1 y ,=�7J( 0./ (1,4 <br /> c, ,,: ;BACKWATER PREVENTION DEICE PROGRAM <br /> 7 r records indicate that a backwater prevention device must be installed on your ' <br /> se -r connection to comply with the new ordinance.Please help us verify that our <br /> rti infor • ion is correct by answering the following questions about your property: <br /> Do you have a basement? Yes, ,No ❑ <br /> w If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes)] No ❑ gip <br /> U Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know l� <br /> "t- <br /> S 7.4 Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't KnovX <br />( Name: 4e V en S1-eart <br /> f) t <br /> Property address: W 17 + +AeJ Eve ei/—, WA- <br /> Phone 112,-1S 4- l is Phone 2: f �d 7�y - �7d� <br /> Email: ->��Irr E 7D / f/ t�, ��in <br /> J'7 . 1-:':''::?::-- <br /> � ter- drain backed GIP f we had wage,aII over _ <br />