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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 />information is correct by answering the following questions about your property: <br />f <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 <br />/ <br />Do you haveeaa �grinder pump in your basement? Yes ElNo V\Don't Know ❑ <br />Name: GTC C-00k— <br />Property address:_ <br />Phone 1: a 3 Phone 2 <br />Email: <br />