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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 Noe❑£ :. <br /> If yes,does it have plumbing fixtures(sinlw foilet,floor drain,etc.)? Yes' No ❑ <br /> Do you have a backwater valve on yourr sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No re, Don't Know Nr <br /> Name: DAV/D BAL.Z.AP-D <br /> Property address: Zfi33 AL#s$ <br /> Gel 40 <br /> Phone 1: awl./ t 30 (' 2 Phone 2: <br /> Email: GL.49wE»�.,f:,f�j.�bbs/@eiciAllco,coon <br /> _l .. ... <br />