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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 jr,V No ❑ <br /> If yes,does it have plumbing fixtures(sin ,toilet,floor drain,etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know V <br /> Do you have a grinder pump in your basement? Yes ❑ NoA Don't Know ❑ <br /> Name: 5-V1 ro n _ PO -e <br /> Property address: c2,3 O ' Cc,l ► -V O c n + c. <br /> Phone 1: 72- " 2S1 — 9O one 2: <br /> Email: <br /> • <br /> v-r,ra .a- c a �, <br /> ��n � ..vrk.p..�..?�t,,�`E�.0*...�,r�.n�.vwxz.,S� .,z _�.,�_«r7 ,_, ..».... ��e,,i F. � ... .. <br />