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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,toile c.)?--Yee J 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: uu m. <br /> Property address: /SOS tic j61 AV E G vekaf:thiP q Vio <br /> Phonei:( .i5) _303-23i1 Phone 2611)4/?"80°1 <br /> Email: REMISE N.8u41)cE CL ©i..cola <br /> , �' ar '' <br />