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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 Kr No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor dr i etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No g Don't Know ❑ kaJ� <br /> Do you have a grinder pump iin,your lbasement? Yes ❑��( JNo X Don't Know ❑ c� � <br /> cs <br /> Name: netrtie �'t/c L4II( porAr <br /> Property address.. 1 / j 6/7;e 1 6- 4eirtiff20/ <br /> t <br /> Phone 1: 2 5-2 -4011 Phone 2: <br /> Email: <br /> .. ,. ti`+< ;,g.M'.},.�. re.�,. s ;i« ..rr.i . a.- <br />