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V <br /> `•BACKWATER PREVENTION DEVICE PROGRAM <br /> • <br /> Our records indicate that a backwater pt,,r,Vtion device must be installed on your <br /> sewer connection to comply with the neN onance. Please help us verify that our <br /> information is correct by answering the fnll4c icing questions about your property: <br /> Do you have a basement? Yes ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes /No 02/ <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: i frets Da ma-ii <br /> Property address: 1 5 3 Z Gee I Jia_ GUel b4 <br /> Phone 1: -f as 33 -s gi Phone 2: <br /> Email: <br />