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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 ;71 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes aieLNo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No I 1 Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes LI No K.Don't Know ❑ <br /> Name: I <br /> Property address: S52.1 LOVA.aAfeb Ave._ <br /> Phone 1: *,�'7j► °462--5 1-„ % Phone 2: <br /> Email: 1. rr 4i. 1 : aVI C'CY� <br /> _ �.'u.`zy..:a3:� ','e':;� z .wa... c_.Esi., ..s.,,_ ., _ _, `3x.�, tit .r „ <br />