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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 NI 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 grindera'/ ❑ i<�pump in your basement? Yes No Don't Know <br /> �" ❑ <br /> Name: 7 4l'�'l �1 0 L/"'�igt <br /> Property address: 3,408 Rucker Afe, <br /> Phone 1: 36 ‘-'I'677 0 Phone 2: <br /> Email: <br />