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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 liNo ❑ <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 L Don't Know V <br /> Do you have a grinder pump in your basement? Yes ❑ No NI/Don't Know ❑ <br /> Name: S-e,./ N /� <br /> Property address: 2-5 t` e ra'^a �4 e <br /> Phone 1: q SS-0—I 230 Phone 2: <br /> Email: Cl G V vJ Q criwk cets4.• A <br /> . _ � -,,,�y. 4%..63 �s'�t�.o��� ,>♦...�e _�.... .,_.. ,._ _, �3�u4�i(�.�'.�. z ....1.,,.k, .. t.aL�' I <br />