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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, aro ❑ <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: C4i/✓ j <br /> Property address: <br /> Phone 1: r_O 13 y/-7 "-PPhone 2: <br /> Email: <br /> _, <br />