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4)1 <br /> BACKWATER PI ,#.NTION 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 /> Doyou have a basement Yes � I: NT- u I S unr-4)6A4 <br /> ❑ No ❑ - S tCE U(J02- D <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No$ c o <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know 1'i tn 'i'511Of, <br /> Do you have a grinder pump *in your basement? Yes ❑ No El Don't Know 4, <br /> Name: A.L\1tiF'(t�l 1`L :cf .i <br /> Property address: —1 10 G 1> NU l . <br /> Phone 1: 20 `1:ii S Phone 2: <br /> Email: <br />