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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.)? Yes X1 No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know lg. <br /> Do you have a/1 grinder <br /> �pump <br /> iin"your basement? Yes No Don't Know ❑ <br /> m/�Name: r��'/r�v� iaftie 74/461/Gf4{ " <br /> Property address: / <br /> Phone 1: teas--.2Sa 3g61 Phone 2: <br /> Email: /"/J4 <br /> PAWN' <br />