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J <br /> 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 foilowir ttuestions about your property: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? YesX No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ Noyt Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ N Don't Know <br /> jff1 ❑ <br /> Name: ! / e / 2p/ <br /> Property address: I Z f/ O ii1' A/c' <br /> Phone 1: T0.6' 9%g• 7O 'hone 2: <br /> EmaI ( t A 171 x 4 if kiver,h4ite.0„,7 <br />