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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 th ollowing 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 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 on't Know ❑ <br /> Name: ? X <br /> Property address: I S O2 G PZJ /". /L ! 2 <br /> Phone 1: `2-5'S1 2 —67 Phone 2: <br /> Email: 1:-)K-vbAVA GQ.v«L.t.S <br />