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J <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater.prevert4ipn device must be installed on your <br /> sewer connection to comply with the"rew�srtinance.Please help us verify that,our <br /> information is correct by answering the fot,pg questions about your property: <br /> Do you have a basement? Yes IC No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes IC 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 ❑ Don't Know k <br /> Name:(i �lJ / =L � <br /> Property address: q�f.30 e <br /> Phone 1:142.$ v2 c " &.91-y Phone : <br /> Email: ��uc,aas g ceo—a 'tr 4 � !? <br />