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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 A No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? YesXf No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know, <br /> Do you have a gder pump in your basement? Yes I] No Don't Know ❑ <br /> Name: gri <br /> (e_. %_ '�� <br /> aE <br /> Property address: �� �t 1 <br /> (0-- , <br /> Phone 1: 42- co if Phone 2: <br /> Email: .. tuyt-,...,, 1 .: �-C� <br /> <L <br /> z ! <br />