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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwater prevention device must be installed on your <br />sedeer connection to comply with the new ordinance. Please help us veri(y that our <br />information is correct by answering lhe tollowing questions about your property. <br />Do you have a basement? Yes �, No � <br />If yes, does it have piunbing fiztures (sink, toilet, floor drain etc.)? Yes � No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No �. Don't K� ow ❑ <br />Do you have a grinder pump in your basement7 Yes ❑ No � Don't Know,❑ <br />`/ , � � � \� 0. s We-�_-�� <br />Name: Y � � i � �"� `v„'� <br />Property address: �`�� � �n�'� - �.re- —� <br />�f� � <br />Phone 1: 7 ��— � �� ' � � �ho�e 2: .__ <br />Email ��C �flp W(C.1.', 1'hCn � C._QM <br />- -- ` <br />t�J�li:rs� ��:, <br />� �:r;ti;,:y:!�Ni.�s� <br />