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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed otn 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)11 No El <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 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 kl Don't Know ❑ <br /> Name:JAVC V . <RaY <br /> Property address: /6)AV / ( (7/v <br /> Phone 1: 20Ce S e Phone 2: <br /> Email: " ! daY'6 !rd 1 e 6001 <br /> .I•s._aYxr. <br />