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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 <br /> the following questions about your property: <br /> Do you have a basement? Yes KI 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 ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ "`"`lll <br /> Name: 14-n L1—KsE L/H/-H, fJ <br /> Property address: 3 0/ v Rc AT /l ts- <br /> to <br /> y — 9 ya5 / <br /> ?58 ys-p <br /> Phone 1: �� �� 7�� Phone 2: <br /> Email: <br />