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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 /> Do you have a basement? Yes Elio ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes erNo ❑ <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 ❑ <br /> Name: VeI?n &ice <br /> Property address: 1 9)j re/0 i'i veVc/-1- <br /> Phone 1: 3/W ,P g,.2`24+ Phone 2: 14 S- 3 4-274 <br /> Email: <br /> _. -c r �.,� €ar��''.��` �, ,; .4... . it>__ __ _., <br />