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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 k No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes $1 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No LI Don't Know g <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: tq <br /> Property address: a,3 i Y 1A0 e- <br /> Phone 1: 49 $9- 5 , Phone 2: <br /> Email: A)14 <br />