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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 ❑ No X <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 grinderri/ pump�, in your <br /> basement? Yes ❑ No)Don't Know ❑ <br /> Name: /Z 6 g'.117�✓c <br /> Cr-4/it <br /> Property address:address: GZ rr�� j�C� ( r-4/it� /7 lj c <br /> 7201 <br /> Phone 1: 2 06' l8a a®6-7 Phone 2: <br /> Email: %`" e,IDA / ,l CC3 <br /> f <br />