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BACKWATER PREVENTION DEVICE PROGRAM <br />;� <br />Our rewrds indicate that a back�vater prevention device must be mslalled on the sewer <br />conneclion at the address idenhfied`on`ihe enciosed letter. Please help us venfy lhat our <br />mtormation is correct by ans�verin�'.Ihe,�ollowing questions aboul your properiy <br />��•. <br />_ r;• <br />Do you have a basemenl� Yes � No � <br />If yes, does d have plumbing fixlures (sink, toilet, fioordrain, elc.)? Yes� No ❑ <br />Do you have a backwaler valve on your sewer line? Yes ❑ No [� Don't Know ❑ <br />Do you have a grinder pump �n your basement7 Yes ❑ No�] Don't Know ❑ <br />Name: _d/GYI� � �^�'1� -- — <br />Property address a�OO (� '( Q r�iy�(� � �� ��� <br />Phone 1`. I� ' 3 SJ �I � Z-Z Phorie 2: ZG� -�� 3�� 7'9 <br />Emall _ i�l�.l y I � U�"1 ���Yu7�/� •(�lo� <br />,,- .�,r��� ;�+I. �,;.: �i,�: ,• <br />��L';��1 � �:M�1���1t7i�� i:ll;4:,.�i�,::a1:Js��: <br />