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BACKWATER PREVENTO DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. 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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes r. 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 ❑ <br /> Name: <br /> S- `- ff L <br /> Property address: q3o L0)14.5 <br /> Phone 1: �.S �' -� / Phone 2: //� <br /> C Tye- O A.91 <br /> Email:� �( i`J ' f�CfL-eQ , „ <br /> f[`� <br /> 3.„ <br />