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trr * 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? Ye91 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toi t,floor drain, tc.)? Yes No ❑ <br /> Doyou have a backwater valve onyour sewer nee? 5'es No Don't Know ok <br /> ❑ ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: ,JUS <br /> Property address: .� f' <br /> Phone 1: Phone 2: 46' <br /> Email: 4 .1,..t, / " <br />