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J <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 [r N ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 'AL-No ❑ <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 [ No ❑ Don't Know ❑ 5(,(gyp powp <br /> Name: ,'RtL 1i j'L'rn�cS �-- <br /> Property address: (2-08' A v� <br /> Phone 1: / C f,C2_*-7013-3 Phone 2: <br /> Email: 4S rat/)6?TILL&F/2o,v?)E//Lw C6141 <br />