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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be instal'ed on your <br /> sewer connection to comply with the new ordinance. Please help us verify that our <br /> information is correct by answering the <br /> �owfollowing <br /> gqquestions about your property: <br /> Do you have a basement? Yes K oN Er-7- <br /> \ PA-1 <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes I 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: @'r�1'�t(� (-5'r'L,9Gi,� (( <br /> Property address: � �tc L-C314V cl 1 <br /> Phone 1: ,� J �Phone2: <br /> Email: l��7si� b. WgtS? c '" <br /> Are.ill ,, s� 1.�_ _ • .., . <br />