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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 1 <br /> information is correct by answering the following questions about your propert :, JQ,' <br /> CIO S M V_ <br /> joi? <br /> Do you have a basement? Yes No ❑ S <br /> VII <br /> If yes,does it have plumbing fixtures sink,toilet floor dra'`,etc.)? Yes '. No ❑_ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No on't Know z k 0 <br /> w' <br /> Do you have a grinder pump in your basement? Yes II] Nt Don't Know V <br /> Name: - ;r ! C- C 0 <br /> Property address: . 3 /g el 6 Vo ,. /( A 'e- <br /> C) - <br /> Phone 1: 4Zs- 2.,,(Z 15 7 Phone 2: <br /> Email: <br />