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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? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes k 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 <br /> your basement? Yes ❑ No ❑ Don't Know <br /> Name: l 134V-II IA <br /> Property address: -71,4 IJt -b'de_ zyG.tz-►'b <br /> Phone g541.2,16, Phone 2:4225 5Z-2 2 <br /> Email: <br />