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J. <br />BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwater prevention device must be in on your <br />sewer' connection to comply with the new ordinance. Please help us verify that our <br />information is correct by answering the,f ,l Awing questions about your property: <br />Do you have a basement? Yes KNo ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes XNo I1 <br />Do you have a backwater. valve on your sewer line? Yes ❑ No ❑ Oon't Know <br />Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br />Name <br />Property address. ` 3 �y1 ^1 u A �%r <br />Phone 1: 3�(�=�� —04 (�Phone 2 <br />Email: (,iA_gvj t��a Ls C v <br />1:iiIL�,6' <br />