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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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes'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: v D J N t G 0 <br /> Property address: v T <br /> Phone 1: J ✓ s"-c? Phone 2: .S 55- 3 sC5) <br /> Email: <br />