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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 IX No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No [I Don't Know <br /> Do you have <br /> a grinder pump in yourou9 basement?' Yes ❑ No ❑ Don't Know <br /> Name: V!��v n7r Y-114S <br /> Property address: 21 l� tJC"1[" lam <br /> Phone 1: (LS"7-'7 �'U'0241 Phone 2: 145--" 97O 77.9 <br /> Email: <br /> ��ssooe ru v." i 0, 1"v <br />