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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer (NI <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: ri <br /> rd <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No X <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 ❑ Z <br /> Name: Ck(/ I. 5—< !rl I (i'y1 Gti✓�k <br /> Property address: ly <br /> Phone(L/25j 2 S 005C Phone 2: <br /> Email: /Va P\..( <br />