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BACKWATER PREVENTION DEVICE 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 ('No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes [2<lo ❑ <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 El Don't Know ❑ <br /> Name: D d II o S±-e i et <br /> Property address: 15 U 1 P 0 ! -t el'-e r <br /> ? 2 <br /> Phone 1: 3�3 o-' III 0 Phone 2: <br /> Email: 1'`ye 1 (' 309 mail, 60Vh <br />