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BACKWATER PREVENTION DEVICE PROGRAM <br /> 3 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 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 ❑ Don't Know <br /> Name: `` <br /> $ <br /> Property address: 1 G <br /> f <br /> Phone 1: "t Phone 2: <br /> Email: '�$�C /yf G:r �% <br /> .... .... ................... <br />