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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 IX No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes wki.No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement? (Yes ❑ No El Don't Know K. <br /> Name: '�� GZ.I W� -i` <br /> Property address: 1 36Z g\t_Cle—Q_x/ <br /> Phone 1: 4i-25"35/Sit 2 Phone 2: Lit25` 2-q3 q. oZ <br /> Email: 711 s 'T -Y)' /. eb►Z-1 <br /> R <br />