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BACKWATER PREVENTION ,. VICE 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 ❑ <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 your basement? Yes ❑ No,'Don't Know ❑ <br /> Name: 'raid 4C7`4rla, <br /> Property address: ? 4— <br /> Phone 1: ,�j��-�� /3- ( Phone 2: 1/ZS ' 3 3' 57 0 <br /> Email S Q-`LP Li CI ea Ibtal rtit' + . <br />