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BACI WATER PREVENTION DEVICE PROGRAM <br /> • Our rietbrds indicate that a backwater prevention device must be installed on your <br /> sewerrconnection to comply with the new ordinance. Please help us verify that our <br /> infortna$i1 is correct by answering the following questions about your property: <br /> Do you have a basement? Yes ANo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? YesX No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No*Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> G <br /> Name: 1 <br /> Property address: I i i le ( Alfi� <br /> Phone 1: 1+2. -2_1 caPhone 2: <br /> Email: h ':4`7d ,i sue'dry,tOil 1 A is . <br />