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BAC.KWATER PREVENTION,DE•VICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply wilh the new ordinance. Please help us verify thal our <br /> information is correct 6y answering the tollowing questions about your property <br /> Do you have a basement? Yes� No ❑ <br /> If yes,does it have plumbing fixlures(sink,toilet, floor drain,etc.)? Yes� No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No � Don't KnowtQ�J <br /> Do you have a grinder pump in your basement? Yes � No ❑ Don't Know� <br /> Name: �t��'1 �JE���u(L�'I ��J'G <br /> Property address: �3 f-4 �Gn� � `D2, � ��r�"� ���� <br /> } Phone1: dO6'� � �'�"�2� Phone2: 3�� ' �I3S�• V�'� � <br /> Email: ��NOG��Y �J GM.O►�• LO^ <br /> ,. <br /> ._.�,..r.-•-------� , ' � . i . <br /> • . • �1 .�.J � ......�.. . . ..��..�...�. <br /> . . ..�._.._ J _.._....... '.. '. ._. � <br />