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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 10 No ❑ <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 ❑ No ❑ Don't Know in <br /> Do you have a grinder pump in your basement? Yes It No ❑ Don't Know ❑ <br /> Name: ?f1/4 tO(L <br /> Property address: l:W c o tiC" , Al <br /> (\w <br /> Phone 1: LI u-2. t 't(d, Phone 2: <br /> Email: <br /> y .:si <br />