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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 t No ❑ <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 U No ❑ Don't Know ❑_tT►t.( <br /> I <br /> Do you have a grinder pump in your basement? Yes ❑ No RI Don't Know ❑ <br /> Name: �.tZ.f e l �,`yf,)lc' ✓v <br /> Ott Property address: Pei �n� �V° <br /> Phone 1:4J� -,._,V -.2 -559s Phone 2: <br /> Email: �t /: �4�P€ C'V!'1Ct Q.CD,„ <br /> r <br />