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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 /> Yi;. I%Sh-i <br /> Do you have a basement? Yes lar 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 J <br /> Do you have a grinder pump in your basement? Yes ❑ No g Don't Know ❑ <br /> Name: e . . 10,2fh s� <br /> Property address: 7 O&L //S fA 1� .S 1 1 Vat&IcVt' O 7/ <br /> Phone 1: (zc- -fil w Z.1 fo ( Phone 2: Y2 S'= /, <br /> 7'y VV <br /> Email: —r&-le I S DUI OI l I . coo" <br />