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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records �nd cate that a backwater prevention dev,ce must be installed cn you� <br />se�ver connection to comoly with the ne�v ordmance Please help us verify thal our <br />informa�ion is correct by ansc+erir�g the follo�:nng queshons about your property <br />Do you have a basemenl7 Yes �o � <br />I( yes, does il have piumbing fixWres (sink, toilet, 9co� r ds etc j� Yes L No ❑ <br />Do you have a backv�ater valve on your sewer line� Y=s ] No ❑ Don't Kno��J � <br />Oo you havc a rinder pump in our <br />, J�� <br />Name: _�� <br />Property addre s � �v � <br />� Yes ❑ No ❑ Don't Knovr �� <br />, <br />Phone 1 ���__F � � �`�one 2 <br />Email: __ _ __ . <br />-- — —+.�; _. .J.'_1__ ' • -`' { , —.'_._ :t--���Si <br />_,r_ _.� � _i_ _L_ <br />