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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 on the enclosed letter. Please help us verify that ou <br /> information is correct by answering the following questions bout your property: 1/ <br /> Do you have a basement? Yes ❑ No \., WW `��`J <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ Noo <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Kn <br /> ti; <br /> Do you have a grinder pump in your baseme t? Yes ❑ No. Don't Know ❑ <br /> Name:de 1 �UCATI' pI ry IILIsW IMVI" <br /> Property address: 0 13+ ILL 1 Agli ilitfrArti ^ <br /> Phone 1:%D c'S t-1O 2Z- Phone 2: 4-2--S—2-3 423 I <br /> Email: '_'I'i #/ 0 t 1 VIP to - <br /> q <br />