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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate tkda backwater prevention device must be installed on the sewer <br />connection at the address identified on the enclosed letter. Please help us verity that our <br />information is correct by answering the following questions about your property. <br />Do you have a basement? Yes j . o ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)'7 YesRrING ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know, Aa� <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br />Name. <br />Property address:' q U ? <br />Phone 1: y,�3 y) �o2j,2one 2: <br />Email: <br />•�l� 11� Ulm' 1. ,;-�i.��r•�. <br />