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i . . . �./ <br /> . BACKWATER PREVENTION DEVICE PROGRAM <br /> � ��Our records indicale that a tiackwater prevenlion device must be installed on your <br /> sewer connectlon to comply vedh ihe new ordinance. Please help us verify that our <br /> mformahon is correcl by answerinc� the followint� queshons about your property: <br /> Do you have a basement? Yes �o ❑ <br /> 1f yes, does d have piumbing fixtures (sink, loilef, foor drain, etc.)? Yes No ❑ <br /> I]o you have a backv✓ater valve on your sewer line? Yes ❑ No ❑.Don't Kno�v�i�- <br /> Do you have a gri der pump m your basement? Yes ❑ No on't Know U <br /> Name: __ <br /> �%(/(�� � -J <br /> Property address' /�� _�.�j <br /> Phone 1: `I�J---' �.i--��� / �(�Y _�(�_J� C.�!.�// <br /> Phone 2: <br /> Finail' <br /> - .t.tl ( �;��! ;�� ��i:�.. .. , <br /> - :4�,�.�.sJ��E�I���.�,�.�{�1�1�Ii����,l�,:��:�,:�:��t�.� . <br />