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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 it No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes i] No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know X] <br /> Do you have�agrinder pump in your(►y basement? Yes El No El Don't Know tz <br /> Name: wan n QS LC..I <br /> Property address: 3 IO�1 U Sk <br /> Phone 1: 435-3i- LI 3 Phone 2: <br /> Email: \(V531 ),(O& <br />