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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)2'No ❑ //e_ Bkse <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes/el. 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 /> t¢� <br /> Name: [ o tie►zT L 14/o O 0 r4147 <br /> Property address: I470 / A.)",/ eP <br /> Phone 1: it ` /7`' Z-Ye8hone 2: <br />__. . Email: R /d0OrC/ / e - 0 <br /> art <br />