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0 S <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 />I <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 A -No ❑ Don't Know ❑ <br />OA14 cxluatr <br />Name: 90 a,, MWWP <br />Property address: <br />Phone 1: <br />�e�l � (e 3" Phone 2: <br />Email: <br />