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BACKWATER PREVENTION,DEVICE PROGRAM <br /> Our records indicate that a backwater prdvntion device must be installed on your <br /> sewer connection to comply with the new,q'dinance. Please help us verify that our <br /> information is correct by answering the folldwing questions about your property: <br /> Do you have a basement? Yes J 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: TA I IN h V1 a "if <br /> i <br /> Property address: <br /> Phone 1: �� [s'L Phone 2: <br /> Email:` A <br /> was <br />