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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 />Do you have a basement? Yes ® No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain etc.)? Yes K No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't know X <br />Name: �,�Sb x2 "k5kIb�r <br />r <br />Property address: 166% LD►,wl�vxY= h Ve, Y4VPvvQ T WA q&2.01 <br />Phone 1: 2- D t�g-,Z3' L2S�j_ Phone 2: YZ5 -qy a 1 <br />Email KGI� <br />m <br />