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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records ir,dicate lhat a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letler. Please help us verify that our <br /> information is correcl by answering the following questions aboul your property: <br /> Do you have a basement9 Yes� No ❑ <br /> If yes,does it have plumbing fixtures(sink, toilet, Floor drain, etc.)? Yes�J No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No � Don't Know� <br /> Do you have a grinder pu�mp in your basement? Yes Q No ❑ Don't Know� <br /> Name �•�D � 1"�00/�� �I /'l 11LlN�' � <br /> ���� U ���7//1`T . . ���%�7✓ �"'� ���/ <br /> Property address: � � /� <br /> 1�Phonel���� v� Phone2: �o'�� ���^�v� <br /> i <br /> Email: - <br /> ...-.y.�.� _ _ � -i ;lli?��I�i�.ti�l�{.�.���'_,'�l a.�:11�.'.�1��11.��'���l. ...��tlif il!.F� <br />