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BACKWATER PREVENTIONOEWE PROGRAM <br /> • <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 i&No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 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 youryoQ �baa,s�pe^,mee,nt? Yes ❑ IN,o',, Don't Know ❑ <br /> Name: J3tr` f 1 C.(Ch4 MC i <br /> Property address: 3+-3/ oS T 4 <br /> Phone 1: 4 5 / g./ffl1 Phone 2: 425 5S3. .07S <br /> Email: I._ 00 1 �Q/�` l w`I'Cel/jl <br /> �_`^ <br />