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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 g No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes rk'No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know rgi <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: F'C.f' C1`LNQS <br /> Property address: /020 ekC <br /> eer <br /> Phone 1:1-12 5._2'9C) `�� 1 Phone 2: <br /> Email: "Gbt\-liC-r,Gaf"L, <br />