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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. 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 IX No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes S.No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder( L-� pumpi in your basement? Yes ❑ No X Don't Know ❑ <br /> Name: fa-in t `l S e• <br /> Property address: I (t ' A4 A " <br /> ) , <br /> Phone 1: Tv 3 "Or 3 3 Phone 2: ` )" �� 'het 9 <br /> { <br /> Email: Cdt'l „- l V1. Cie IV\5 , e, Vt& <br />