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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 A. <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 iin ,'in your basement? Yes ❑ No ❑ Don't Know, <br /> Name: JoJ - I��'G/,i die ,h ffi ar) <br /> Property address: ZC / 2 fiaro s 2 f Iq V e <br /> Phone 1: L 7 ego! 6 7 c Phone 2: <br /> Email: <br />