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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 N'No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet l drain etc.)? Yes ❑ No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ,re" <br /> Do you have a grinder pump in your basement? Yes ❑ No �'Don't Know ❑ <br /> Name: SLa.s a,7 i •C7 ! ; d eel <br /> Property address: au t / is }I/ ( ° U 9 f <br /> Phone 1:Lf —9o3 a 6 1 3 Phone 2: <br /> Email: <br /> e.:rai..:i <br />