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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 a basement? Yes V No ❑ <br />If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes YNo ❑ <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 />Name: <br />Property address`. <br />; Phone 1: 1 425- B-4Le-7-q 19 Phone 2: <br />Email: ltg015A 1551 oc H ,C9m <br />