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• BACKWATER PREVENTIQN .EVICE 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 ►1, No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes [j' 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 <br /> Name: C_ IAD"7,4 7 7- <br /> Property address: 49 r2 L O f 73 4 A f l <br /> Phone 1: ®e<ref• 3 3-3 Phone 2: <br /> Email: <br />