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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 a basement? Yes Kri&o ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes /1:lo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know d <br /> Do you have a grinder pump in your basement? Yes ❑ No [Don't Know ❑ <br /> Name: 1 er(*a 0. 4.. -(1 41, , <br /> C 3J" <br /> A. <br /> Property address: 2 z? <br /> Phone 1: .A '2 -. 2 Phone 2: y�'# 7- <br /> 3 i�3 a <br /> Email: " ;Y1: A 't-H!' ti 4,d14 L JI. 1)1 <br /> ft <br />