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J <br /> BACKWATER PREVENTION 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? No <br /> Yes ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)?4110 No ❑ <br /> Do you have a backwater valve on your sewer line? Xe140 o .'0)on't Know ❑ <br /> Do you have a grinder pump in( your basement? Yes No on't Know ❑ <br /> Name: CV"G�.1 l.kQ 3Q-t <br /> Property address: ezio 3co—ii E�f.S2cc <br /> Phone 1: -41- Z36 3Sr Phone 2: <br /> Email: <br />