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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 ❑ g"� b4se«.cws �\���4 ` S ZSsff <br /> q^� 44,a. .0NASAl, 24t., SOe <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No W;kl nok <br /> Do you have a backwater valve on your sewer line? Yes ❑ Noy Don't Know ❑ ,00Z. <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: r.-4.40‘c)tn <br /> Property address: yS t$ Cr .ce e1 is 2.03 <br /> Phone 1: 14'j.6-7S LI-42 Phone 2: <br /> Email: PO\ve,Ot.Wo \G °i Y.:nSGWA•Nr Sed✓ <br />