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, <br /> BACKWATER PREVENTION'DEVICE PROGRAM <br /> Our records indicaie Ihat a backvrater prevenlion device must be installed on your <br /> sewer corineclion to comply�vilh the new ordinance. Please help us veri(y that our <br /> . information is correcE by answering the folloviing queslions about your propeAy: <br /> Do you have a basemenl7 Yes�No.❑ <br /> ��. <br /> if yes, does it have pfumbing fixtures(sink, toilel,iloor drain, etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer.line? Yes ❑ No� Don' now ❑ <br /> Do you have a grinder pump in your basemenl? Yes ❑ No�,Don't Knoe✓ ❑ <br /> ���..-, � <br /> Name: �1�1 �� <br /> Property address ���_���� � <br /> Phonel��a���Phone� ` d — 0� � � �� �� <br /> Finail _ <br /> . .�. � .}i �1� � 7 <br /> � <br /> '?:1�1�1�Iff�l:�;Li��i�'.� :'e ':t .�:.�:1:��.1��.� . <br />