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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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know Cgt <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know Da <br /> ve've' C./ C ' <br /> Property address: 401 A vn—Se ,7 Blvd <br /> Phone 1: 12.5"3.39;/2.233 Phone 2: 425 4 Z-9O33 <br /> Email: G�1/©fe1/7Ce l:� eve/®®k cer <br /> 17, .„ ". <br /> 4 zza l ..3,.. • .. OA' _sz`+_ <br />