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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 abasement? Yes XNo ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes"/No n <br />Do you have a backwater valve on your sewer line? Yes ❑ No X Don't Know Ll <br />Do you have a grinder pump, in your basement? Yes ❑ No X Don't Know ❑ <br />Name' <br />2fly y_ E�Fncrrw/a <br />Property addressC_. U <br />'Phone 1 <br />zDL 251—,370I Phone 2: 360 7 I — 102-0 y Zd <br />d�hot/V.a; I. Cc <br />Jr14A1*41f1'llr!.i:��. <br />