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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 YrNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes +/ No D <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: Fiki 'i{A 100 <br /> Property address: 024 I I LrinticA le C3 Ail ET' <br /> Phone 1: i .g"'a 5-c:so Phone 2: <br /> Email: <br />