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BACKWATER PREVENTION DEVICE PRC?GRAM <br /> Our records indicate that a backv+ater prevention device mus�be installed on your <br /> se�:+er connection to comply with the new ordinance Please help us verify Uiat our <br /> information is correct by answering the following questions about your property <br /> � <br /> Do you have a basement? Yes o �] <br /> If yes, does il have plumbing fi ures (sink, toilet, floor drain, etc.)? Yes i No ❑ <br /> Do you have a backivaler valve on your sewer line? Yes ❑ No Don't Know ❑ <br /> Do you have a grinder pump in your basement�_ Yes � No Don't Know fJ <br /> Nam�������`(���� <br /> Property address p ����7 ��� ��=+ <br /> �����p l� '�' a 4.. [.rM(� <br /> �:�"Ph'onc���9 �`� � �� �+,���hcne 2 —i.-'� -— � t: <br /> � " � � �l -.y ' ,( �� ���� 1 �: 41 .��, � <br /> ` . ; ( � ( p <br /> Email' �. 1 \ li3 ���',,� � � li�✓� ��.� W�� _: ��+ , ��d��,3�/ 4�j� <br /> . , <br /> " � . �1 ' --- <br /> �J <br /> . �:. _�. 1 � � ;�.� � � ��� � .� �� <br /> _ O, d �L __ 3 _. `.Y , �' _ _ , . l_ . . . .__�s: <br />