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, BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate,that a backwater`preventioh device must be installed on your <br /> sewer connection to comply with the hew ordinance.Please help us verify that our <br /> information is correct by answering{he following questions about your property: <br /> Do you have a basement? Yes E 'No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,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 basement? <br /> Yes ❑ No ❑ Don't Know <br /> Name: TE:!etN SThlC, V(e-4 <br /> Property address: / 03 C> 6 0 I I y <br /> � --2 `Z � � Phone 2: W_...._.. <br /> Phonee 1:1: <br /> Email: //� i Ji�'�r� � ii 1:444." <br />