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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 rJ <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 yo/ tb Ltur basement? Yes ❑ No ❑ ID_on't Know <br /> Y ❑ <br /> Name: T1tkE a( iN r d& {+ <br /> Property address: 3 2.31 rt(QtY1 d v E <br /> Phone 1:261 - 100- Di/ � Phone 2: <br /> Email: beh Q iilthC16 /Y l 1 a IUD- WI <br /> tp <br />