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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 XNo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ Non <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 ❑ Don't Know' <br /> Name: BVL(i (ktuNve <br /> Property address: /4 f, Iet . 4ve, fifteef vlf <br /> Phone 1: Z5.••Z2 s1,J Phone 2: $4105-�fe%/757 <br /> Email: idekikni&I S� ar e. <br /> S. ? Iex ,k <br />