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'ye <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 A, 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 ❑ NoC] Don't Know ❑ <br /> Name:�Q J Re(6 Q(.)0 <br /> Property address: S 3 Gk e J b�e_ l�ifp- <br /> Phone 1: JZ 3 '00 7 1111Phone 2: V /i l/VV <br /> Email:17a V� k too O re <br /> ^.fit <br />