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1 yyqq <br /> 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 g] No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes f$f No ❑ <br /> Do you have a backwater valve on your sewer line? Yes :1 No ❑ Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No ® Don't Know ❑ <br /> Name: J -tie /ia4lcy O/semm <br /> Property address: 03 i alloy Ate <br /> Phone 1: 11 25-2 st -1/ocI Phone 2: <br /> Email: J`SCY1lee 6 40Prinker.effm <br /> . .... , . s.. ., <br />