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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(sink,toilet,floor drain,etc.)? YesX No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ NooDon't Know ❑ <br /> Do you have a grinder pump inyour basement?�se Yes ❑ No,.Don't Know <br /> � ❑ <br /> Name �-�b ( Y J C,16� <br /> Property address: <br /> z <br /> (Liu)- tom 1J <br /> Phone l Phone,2. j �c) <br /> Email: 9 17)1 VIA �L /� Q� j� ® C d vr) <br />