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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 ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 41 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know t ] <br /> Do you have a grinder pump in your basement? <br /> Yes ❑ No ,N Don't Know ❑ <br /> Name: ' - - ,' y.-Z✓ <br /> Property address: (/ )1 y ,L 8 ,Q y Ye gel t()A <br /> Phone 1: /-1,. 70 Phone 2: <br /> Email: <br /> s t <br /> ,. <br />