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BACKWATER PREVENTION DEVICE PROGRAM cJ <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: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ' Vo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No g'15°On't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: . Pe - <br /> a <br /> Property address �-� ' '� )/1.� <br /> Phone 1:'Ai (9D 1 '5 O I •';' Phone 2: <br /> Email: .c p.Z„Je.i-e, <br /> � a � d: <br />