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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwaler prevention device must be installed on your <br /> sewer connection lo comply with the ne�v ordinance. Please heip us verify Ihat our <br /> i�formation is correct by answering the following questions aboul your properiy: <br /> Do you have a basement? Yes 0 No � <br /> If yes, does it have plumbing fixtures (sink, toilet, Ooor drain, etc )? Yes � No ❑ <br /> Do you have a backv+ater valve on your sewer line? Yes ❑ No �Don't Know (� <br /> ,� � <br /> Do you have a grinder pump in your basement? Yes ❑ No �X� Dodt Know ❑ <br /> n �� <br /> Name: _l/l�qn�t7Ti"� �-0-�-�`^"�1> <br /> Property address: _ �' ��� �'`��� �� �� "� " ��� <br /> � y � �a : <br /> Phone �: �S' .3 6�.�3.j Phone 2 <br /> [mail: ���GZ C_�� e�7� • ��_ <br />