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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed otn 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? YesX 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 ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ NoX Don't Know ❑ <br /> EAZ <br /> Name:t,� LS C9V y,.ter j !Q <br /> Property address: Kw e--4 `$'ice AAA ‘40 <br /> Phone 1:aEj ,— 341'O hone 2: <br /> Email: Cir)rts <br /> g n;! <br />