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I <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? Yes E'No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes Plo ❑ <br /> Do you have a backwater valve on your sewer line? Yes 'o ❑ Don't Know ❑ <br /> Do you have a grinder pump in^your basement? Yes ❑ Noon't Know <br /> ! f c� .ra ❑ <br /> Name: 1 rtr0�'� <br /> Property address: 7/7 Grayer /Ao. <br /> Phone 1: VO 0?59-''//.7a1 Phone 2: ytt 3 3 7�0'71* <br /> Email: 5r�1 fi� roPe C IV/AP/ /fr. CDs11 <br /> i- ,1 1 . <br />