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jr <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property: q <br /> Do you have a basement? Yed�15C1 No ❑ T3Pkb� {� xsi t) <br /> If yes,does it have plumbing fixtures(sink,toilet,floo -�,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 baasement? Yes ❑ No J! Don't Know ❑ <br /> Name: GtvvlEES - +°�tJ�� <br /> Property address: 246111 BAtti A 0.) <br /> Phone 1:4` 3ve~3 Phone 2: 3(QO'b r3463 <br /> Email: 16/}5 ...313 Lif ' .14140 e[I '.W6/1 <br />