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• <br /> 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/er No ❑ £1 .1 v i <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ 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 ❑ NoXDon't Know ❑ <br /> Name: "^^ Ot6 es <br /> Property address: 2,9 ) 0 O'n 1 ✓d de- <br /> Phone 1: c}1jjS' 5(j} • 46 Ub Phone 2: <br /> Email: Ttvv. . ✓' dA v`^Ui 1` C0A.,. <br /> �,1 s <br />