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1 <br /> 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 pro erty: <br /> Do you have a basement? YesX No ❑ �j p hOo r <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes>4 No ❑ ^0 ) <br /> /\\ <br /> Do you have a backwater valve on your sewer line? \rT (No ❑ Don't Know ❑ 1-,o, <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: J et Vl►'l e —4— S i e i <br /> Property address: I ( — " P" <br /> Phone 1: ld J ?� v Phone 2. <br /> Email: f D � v ks Cam.C ce.s.4"' i v <br /> . <br />