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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 ys 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 ❑ No fill <br /> Do you have a backwater valve on your sewer line? Yes ❑ No tg Don't Know ❑ <br /> Do you have a grinder pump iin your <br /> ��basement? Yes El No '� Don't Know ❑ <br /> Name:j e 'Q e (59 Al(; e 4/ <br /> Property address: / J 4.J �J �ij y vim° <br /> Phone 1: p� 54 - Phone 2: <br /> Email: <br />