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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer Se) <br /> connection at the address identified on the enclosed letter.Please help us verify that our 0 <br /> information is correct by answering the following questions about your property: ,ThiS N <br /> Do you have a basement? YesNo ❑ <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 ❑ .3, <br /> Do you have a grinder pump in your basement? Yes ❑ No Don't Know ❑ y <br /> Name: ! A DV lv f lie''" <br /> Property address: <br /> Phone 1: Li Z 1 Z Z 2.., Phone 2: <br /> Email: <br /> �,2 :act. 41. .i <br />