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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 No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 111<lo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No �on't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ <br /> Name: rer- <br /> Property address: 1``0k. WA J e_ <br /> Phone 1: `1- -a-Sct-C,sd1U Phone 2: '3(oO of SS_v <br /> Email: `er 871 f' , C.) <br /> Min <br />