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BACKWATER'PREVENTIO.N 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 aiNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes F No ❑ <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 ❑ <br /> Name: RNA/ i wool, <br /> Se V <br /> Property address: ---` I'-0 /c(.f C ,e,r 40/4— <br /> Phone 1: Liz s-o368--g7yzil Phone 2: 'Tee3 <br /> Email: <br />