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J <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to cortiplywith 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? YesY No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes xe No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No LI Don't Know Igt <br /> Do you have a grinder pump in your basement? Yes ❑ No Y'►Don't Know ❑ <br /> Name: JeuMl°S Ft 1)-eLli!k <br /> Property address: 2-C3 ( iPr �tv4 t- <br /> Phone 1:425-3 cf6 - 5— Phone 2: 425 2 —((061 <br /> Email: a_iN. do 'tX-C Oma4., & <br /> • <br /> g <br />