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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the,following questions about your property: <br /> q�W <br /> Do you have a basement? Yes ,, ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ler‘lo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know Er--- <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know 8� <br /> Name: <br /> Property address: ri t4 — <br /> Phone 1: bV-S Phone 2: <br /> Email: <br /> a- a t <br />