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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwater prevenlion device must be installed on ihe sewer <br />connection at the add�ess identified on the enclosed lelter Please help us veii(y that our <br />� informalion is correct by answering the follo�ving questions aboul your property: <br />Do you have a basemenl7 Yes�U No ❑ <br />\ <br />I( yes, does il have plumbing tixWres (smk, toilet, floor drain, etc.)? Yes No ❑ <br />Do you have a 6ackwater valve on your sewer line? Yes ❑ No [] Don't Know�j <br />Do you have a,prinder pump in your basement? Yes ❑ No� Don't Know ❑ <br />/r .. n <br />Name %`f/,li�LLL_ �-P)J l�/L�7 G� <br />Property address: � � ��'�- � ' <br />G c/ � <br />Phone 1: �asl p 7U— S D V� phone 2: _ <br />i �[�/J�� / <br />Email: /'7Y�Wr (�')�- r�c% �I 5 - C�ly <br />���;4��'}[��1_'�1lrty1�11Ki"!" : <br />II'Lv�1LW:I�1��iJ Ii.L� <br />1 1 � ' � ' <br />1 �_—._ .... ._.. ..—._ _—..— _ . ._. <br />