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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the enclosed letter. 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.)? Yeso i <br /> Do you have a backwater valve on your sewer line? Yes ❑ No `4 Don't Know LI <br /> Do you have a grinder pump in your basement? Yes LI No ❑ Don't Know ❑ Simivp <br /> Name: t V - P <br /> (441 <br /> Property address: 02 5(Ok I Y vu , /411-6 <br /> Phone 1: 1-1 7A.3— D 7O` 1 4to I Phone 2: - - <br /> Email: e- 6:10i'I6/j. a1400. Com <br />