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I <br /> 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"g 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 yj Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: Dcare-Y 7tpYv1 <br /> Property address: / �L$ C_—c, I k.) <br /> Phone 1: ® � Phone 2: <br /> Email: 4.kt'0 L1 ..: <br />