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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that aabacliwaterpreventfon device must be installed on your <br /> sewer connection to comply withlhe 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 e co ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ][�No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes No ❑ Don't Know ❑ <br /> Name:\ IR..-k—kk "` LVel <br /> Property address: ` (co Z3 1ac4es-Q _ <br /> Phone 1i� 3®—A is 4 Phone 2: <br /> Email: h- Lc t k 'c d C � <br />