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Ft., ✓BACKWATER PREVE TIGN.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 ., No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes Ni No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know g <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: L44 / Fu <br /> Property address: 1 co (A o ld` i <br /> "t <br /> Phone 1: Z-5-2-Sb-0f{e7 Phone 2: 14ZS-222--(( co <br /> Email: I-c(-1Ak 0 8 C04k1C- s4-• )4.k <br /> � , <br />