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. BACKWA�ER PREVENTION DEVICE PRC�GRAM <br /> � <br /> . ,: <br /> �,; � - ��>. , . . . <br /> Our recoras indicate thal a backwater prevention device must be installed on the sewer <br /> conneclion at lh�. address identified on ihe enclosed IeUer. Please help us verify that our <br /> information is correct by answering tHe following questions about your property: <br /> Do you have a b��sement? Yes�No ❑ <br /> If yes, does it have plumbing fix ures (smk, toilet, (loor dram, etc.)? Yes� No ❑ <br /> �o you have a backwster valve on your sewer line? Yes ❑ Ne ❑ Don't Know � <br /> Do you have a grinder pump in your basement? Yes C No ❑ Don't Know �X <br /> ^ �1 <br /> Name: �V"�l-l�i�r�,�.�Q��� <br /> Propertyaddress �� I ��s .'�'�Vv��VQ1�� W�-/Q �") <br /> Phone 1. a� ����- ��5� Phone 7 <br /> f_mail _I_I_Ll��4� � vV-s�u-�����1�_��bn��C�� <br /> 6 ., <br /> I;l,�_ka,�i .�.1. �6 , . i•�, � .,_ .i..� t.. �,b <br />