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J <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 ISZ No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No X <br /> Do you have a backwater valve on your sewer line? Yes ❑ No%Don't Know LI <br /> Do you have a grind pump in your basement? Yes ❑ No X Don't Know ❑ <br /> Name:Property address: re7I! di, A y <br /> Phone 1:340 y!..fi3 yo Phone 2: qZ S 713" '1 ! 5,d <br /> Email: Aie• , Ale/Ley . cv <br />