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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes 'No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes [ "No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know zi <br /> Do you have a grinder pump in your basement? Yes ❑ No Q"Don't Know ❑ <br /> Name: t,-,b f f\Pr <br /> Property address: A5 rj ( Co Um) - 0Phone 1:A - , 1 1 cc Phone 2: <br /> Email: <br />