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I <br /> 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 Q No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes kj No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know j] <br /> r*3 Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know h <br /> Name: 11 CA /I I i v C) <br /> Property address: 2_o 3 2- IS�'�L Ave__ <br /> Phone 1: S. 2 S 41Z-05 Phone 2: (2/5 14zZ. <br /> Email: ; i1Wf j 61eo/1►ns /•cw, <br /> : , <br />