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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 W No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floe, drain, etc.)? Yes 19�No ❑ <br />Do you have a backwater valve on your sewer line? Yes ❑ No kDon't Know ❑ <br />Do you have a/ grinder pump in your <br />.basement? <br />Yes E] No D,onn'''ty7Kn{oww ❑ <br />Name:41 <br />/�nL I/ <br />Propertyaddress:: IW 12— A- 6W tlU <br />Phone 1: 253 L�� �1/_f Phone 2 <br />Email. <br />