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.."'''':"BACKWATER PREVENTION DEVICE PROGRAM <br /> ' •�-x,."'iur.records indicate that a backwater prevention device must be installed on your <br /> • sewer conneClian 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 gNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes reNo ❑ <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: 4,.t/'t L C <br /> Property address: / S G O .. .*9 ��'. e <br /> Phone 1:92 S' .7 S'.2 —2o3 o Phone 2: <br /> Email: <br />