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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device mgstbe 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%No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No0 Don't Know ❑ <br /> Do you have a grinder pump in your /� <br /> basement? Yes ❑ No`® Don't Know ❑ <br /> Name: Patrick �r✓1/ gcii <br /> Property address: / 6,06 fV LCbovi.t'// 4 e <br /> Phone 1: IC Z5-2_5 2- /2 , Phone 2: <br /> Email: ! , i 4t / u IA l a C$/f'1 <br /> J,4 S a t„', <br />