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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/mil No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes A,1 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know NI <br /> Do you have a <br /> grinder pump in your basement? <br /> Yes ❑ Nog Don't Know ElName: ✓0..Nl 1 ct fl GI.Y'S� <br /> Property address: ZZZ"f 6V414 A U'e' <br /> Phone 1: 12 5 r 5q,J (°�5555 Phone 2: <br /> Email: D L • )�A 1`by f o7 v11A 4 L o Co Y4 <br />