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J <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> n 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 <br /> the following questions about your property: <br /> Do you have a basement? Yes ❑ <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 ❑ No Don't Know LI <br /> Name: •X 0,iYV^" ,( AC c.,x) S <br /> Property address: job�`, �L\I--,e 9. t <br /> 11 tidne 1 3 -5.- Phone 2: <br /> Email: <br />