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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 <br /> Do you have a grinder pump in your basement? Yes ❑ No76 Don't Know ❑ <br /> Name: ``\-'L `C ��`` <br /> Property address: )4-'2% �" ,_ ' ( . I Y Y`k Q2..0 <br /> Phone 1:12s- 'd IZ Phone 2: <br /> Email: ah,h99 Qw,yet/- <br /> .4 <br />