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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance. Please help us verify that our <br /> informalion is correct by answering the following questions about your property: <br /> Do you have a basement? Yes �o ❑ <br /> It ye.;, does it have plumbing tixtures(sink,toilet,fioor drain, etc.)? Yes �No ❑ . <br /> �o you have a backwater valve on your sewer line? Yes No [�Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes�N�o'� Don't Know ❑ <br /> q � � — S vL VY�� �h'� <br /> Name: �'SC� f✓'�� V����1�'1G1 <br /> Property address:� � L � — <br /> �' Phone t�c��l �����1 ��Phone 2: <br /> Email: <br /> ,�, .;�.,��t ,�;� . . � <br /> :i�il:dd�ed�x�v�i3tl�i�S:tE�ti E;�.e����` '�S:i�2�1t=,�li':!f'�:,C.� <br />