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e <br />BACKWATER PREVENTION DEVICE ?ROGRAM <br />Our records indicaie that a back�vater prevention device musl be inslalled on the sewer <br />connection al the address idenUfied on ihe enclosed letter. Please help us verify that our <br />information is correct by answering the tollo�ving questions about your property: <br />Do you have a basement7 Yes �J No ❑ <br />I( yes, does it have plumbing tixtures (sink, toilet, floor drain, etc:)? Yes� No ❑ <br />Do you have a back�vale� valve on your se'wer line? Yes ❑ No 0 Don't Know � <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know �—� <br />Name: C�w-l�s 6t ..���t � i�l..,el J N� <br />54 <br />Property address: t?09 � 5� , E�e�ii- `Id2o\ <br />Phonel: 2�o`ity-�r�5-1 Pharie2: ^+'�`�i`}-S�A'T <br />Emaii: �:.�ascle�nell � cio�_cew. <br />„ .,� <br />— -- —i' ;,��ss+s�;i�n!:�.'�s�t�i�,��. <br />� <br />