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��4CK'V1l�TEF� PREVENTICIiI� DEVI�� PRC7GRAM <br />{�ur r�cords indicate thai a backwater prevention device must be ins#alled on your, . <br />sewer connection to cornply with the new ordinance. Please help us verify'th�t our <br />iniormation is correct by answering the following questians about your property: �. <br />_.:. <br />L�a you have a basemeni? Yes � No ❑ <br />If yes, does it Mave plumbing fix�ure� (sink, toilet, floor drain, etc, j? Yes No ❑ <br />Dc� you have a b�ckwater valve on your �ew�r line� Yes ❑ No ❑ Dcrn't I�naw � <br />Do yQu have a grindsr pump in yo�ar basement? Yes �] No � ��n`f Knaw ❑ <br />hlame: ��rY � � Vr, '�_ <br />Pro�erty address: l'��'� �'- 1�1 �:,'f'�;Y�. �, '�i �..� � �` <br />Phane 1: �'�'� �- ��'�-°� �� � Phone 2:. <br />+� a� � "wr il ` � , <br />_ t�,��.... 3� . . � _ , � . ..,, _ <br />