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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must bes 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: <br /> Do you have a basement? Yes piNo ❑ ,g <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 2/No ❑ ") <br /> Do you have a backwater valve on your sewer line? Yes ❑ No Don't Know ❑,R <br /> Do you have a grinder pump <br /> /inyour basement? Yes ❑ No 0 Don't Know ❑ - <br /> ? /i <br /> Name: /41 r I/ _ —...,.. 4.2 <br /> Property address: ?.re'9 12/4- k 141' ` <br /> Phone 1: Z ? ',2_— Phone 2: U <br /> Email: 14.1 <br />