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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 Elt If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Ye:X-No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No,Don't KnogC <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know <br /> Name:Gay (Scv\ <br /> Pro ert addres ` `�U .CCeAtL_ <br /> Property f C� 1 <br /> Phone 1�6 7'I7—6%2 $' Phone 2: <br /> Email67av 0f02% e <br />