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BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwater prevention device must be installed on the sewer <br />connection at the address identified on the enclosed letter. Please help us verify that our <br />information is correct by answering the following questions about your property: <br />Do you have abasement? Yes X No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes 0 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 A Don't Know ❑ <br />Name: <br />Property address: 70 / <br />MAO-4-- <br />/� 3- %�- .S%nJv✓ %i� � 4,0 !cu _ yea � / <br />Phone 1: /3`(0� (0-6S2- S-I&y . _,Phone 2: r-S <br />Email: J�} 1YY1G nl r✓ try rr5 'j. a or✓� <br />-7/ -a y 3 3 <br />0� <br />