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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,T (sink,toilet,floor drain,etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know f2 <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> /( <br /> Name: N ` G <br /> ° �•` <br /> Property address: D \ ✓ <br /> Phone 1: (r7 f�750- i'f$f(7 Phone 2: <br /> Email: (NV7�`/t`I(7 @ Qt,a(• G b Wl <br />