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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 14.9111 <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes'y 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 F Don't Know LI <br /> Name: '____ <br /> p <br /> Property address: <br /> Phone 1:3 C0) Ltql '-�61r4 Phone 2: gag 277—3 (ct <br /> Email: !. wV'( <br />