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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 [iNo ❑ <br /> If yes,does it have plumbing fixtures dp toilet,floor drain,etc.)? Yes iNo ❑ <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: t717/l/ CA-4( ` r64 <br /> Property address: AO Z7 AWQ•Phone 1: S)327- 777 Phone 2: 5/l <br /> 303 3`l9 <br /> Email: car/feu:AA. c. 'AcegaDK lluk4Y 412LIJ.CU►4+ <br />