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ig06 10'"'SJ: I <br /> " _ �uB�4CKWATER PREVENTION DEVICE PROGRAM <br /> :0"'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 $1.No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 54.No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a� C� <br /> grinder! - pump in your basement? Yes ❑ No X Don't Know ❑ <br /> G Name: L �L►( 7� <br /> Property address: ..- <br /> Phone 1: ' ' 70( Phone 2: <br /> Email: <br /> .;., 1`t¢¢ <br />