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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 I ''Nheo ❑ <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 ❑ No R'fgn't Know ❑ <br /> Name: WM l S <br /> Property address: 5 e. M 1.3E I 'V <br /> 11 Phone 1: et8ihone 2: <br /> Email: M.W1>e8! S GO COM C. sr. ��T <br />