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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 [k(Jo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes "lo ❑ iliac <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 2 1 41 <br /> Name: ariMiaSSf itiL'Cede <br /> Property address: , .9 R qP2 f <br /> Phone 1: 412--0- a- o g6-Phone <br /> 2: 4'Z„'' 336 "Kit/ ce <br /> Email: 0(.Sg drug leiin4e i <br />