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• `BACKWATER PREVENTION`'bEVICE 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 �o ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 10/No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> 5u rv4 P p an-p <br /> Do you have a grinder pump in your basement? Yes' No ❑ Don't Know <br /> t, •j_ <br /> Name: Lisa_ CDf1ufll <br /> Property address: 1102 e.ocke.1e1 ex AJenue <br /> Phone 1: Phone 2: <br /> Email: cfj` Lot-LCD . oM <br />