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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 onttieenclosed letter. 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 YKlo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yeso ❑ <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 basement? Yes ❑ No Don't Know ❑ <br /> Name: 5(r( 5-112ar0.v1� <br /> Property address: �t / � l z`.r`1S <br /> Phone 1: 4 <br /> 2� Q°13-=)5`J� Phone 2: 4Z 3 6 7v J�20 to <br /> Email: --PrOtel?"-F611"n5e C�Y►1GG�sY {/ <br />