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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 ,No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ <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 ❑ Noon't Know ❑ <br /> Name: <br /> J J/1 d,/ �S 1� �/i-(.✓ / Ir d? <br /> Property address: Ye 2 6/ ,V.' 4 ✓/-- --3 <br /> Phone 1: 5'2s 25 MI6. 7 Phone 2: <br /> Email: 3i1-(.(.4Z /' 7 7 d c <br /> • <br />