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I <br /> 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 !AIN° ❑ <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 NI( <br /> Do you have a grinder pump in your basement? Yes E] No E"Don't Know ❑ <br /> Name: M (C e. ! 7-0-L'Q <br /> Property address: (Sit ? .tke! f7 <br /> Phone 1: l Z��- ?J Phone 2: ��� 7 ( 9� <br /> Email: �.C({ l <br />