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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 No F-1 <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 /> ...... <br /> , <br /> Name. -- <br /> thProperty address: ` <br /> i Phone ® n 2: <br /> Email. <br /> -__ <br />