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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwatefprevention 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 No ❑ <br /> If yes,does it have plumbing fi tures(sink,to - floor dr-in, • c.)? 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 your base t? Yes ❑ No Don't Know ❑ <br /> Name: 5-7: <br /> tin <br /> Property address: a 1f°' CkCtC <br /> Phone 1:a Z. � C� Phone 2: y ,s-yT <br /> Email: <br />