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� -� � <br /> ����°, BACKVV'ATEf� PREVENTION DEV�CE PRC�C�RAN1 <br /> x', <br /> � : <br /> 3:N <br /> � r� Our recc�rds indicate that a �aekwater prevention device must be installed on your <br /> �,,, <br /> �;- sswer connection to comply rrrith fhe new ordinance. Please help us verify that our <br /> � .� ° <br /> information is correct by answering the following questions about your property: <br /> �� L7o you have a basement"? Y'es ,*' No ❑ <br /> ,y <br /> � If yes, does it have plumbing fixtures {sink, toilet, floor drain, etc.)? Yes� No ❑ <br /> ,. � .x <br /> �o yau have a backwater vaEve on yaur sewer line? Yes ❑ No Dnn't Know ❑ <br /> :, Do you have a grinder pump in your basement? Yes ❑ No c Don't Know ❑ <br /> r; <br /> y'' i `� �' �' �<`� �� � � <br /> Name: ����' ��;,a� P � �� �Y;�"?...a��.�a <br /> —�- <br /> ,, ,,� � ��� ,,.�, <br /> Property address: ��� � � �� ��=�� .��'�� <br /> Phone 1: ��`�"" �.�� ��� � Phone 2: � �`�'�� � � .._�� �'��": <br /> g Email: ��� �g �";'� d`��'' � �� `'���������.�s �;���� <br /> „., <br /> �<: � <br /> ..� <br /> __ <br /> �_.. <br /> � .,,..., ,;� � <br /> � 'x , ' : _ <br /> �.� _�.�.....__. _._ . � <br /> _ <br />