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• BACKWATER PREVENTION DEVICE PROGRAM <br /> .41 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 /> Do you have a basement? Yes g No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)?°Yes II No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ki No ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ Nog Don't Know ❑ <br /> Name: .-S52ZKL�_ <br /> Property address: ` '(Z-. £a uet, <br /> Phone 1: c=3Z_70--9°ZJ Phone 2: <br /> Email: <br /> `i „�x.i �: wa ., <br />