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,.�� _ � <br />, .; �_„ <br />� � B�4C�i��U�T� P�tE1/EN�TIO� DEViCE PROGRAM <br />�.�� , <br />�� <br />C3ur records indicate that a backwater preventior� de�ice must be installed ��n your <br />sewer connection #o comply with the new ordinance. i'lease help us uerify that our <br />;� information is correct by answering the fallawing questions about yaur pro�erty: <br />Qo you ha�e a basernent`? Yes � No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, flaor drain, etc_)? Yes � No (� <br />do you have a backwater valve on your sewer line? Yes � No ❑ Dan't Know � <br />Do you ha�e a grinder pump in your basement? Yes ❑ No Don't Knaw ❑ <br />Name: i'�'� � �., ��� .� � � t� ����t� <br />Property address: t «.�) � � F"��i`� t �a,��� � ����.�'�. t ���: � ���.��— ����5 <br />Phone 1: `'���..,�s�� >�� ���� Phone 2: <br />Ema i(: � � �. � �..l� s� �. �? � :`� +� �. , �� ��`� <br />