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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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes Iy] 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? Yes ❑ No VI Don't Know ❑ <br /> Name: -,-2)et-n,e Simyi‘Yk.424j <br /> Property address: ILO Ca t koi Poi <br /> Phone 1: qZ Z3Z—ZiO3j Phone 2: <br /> Email: cane- 6a-07i014f7 /?On?t�i�,C:.Ov'Y! <br />