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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 VNo ❑ <br /> If yes, does it have plumbing fixtures (sink, toilet,floor drain, etc.)? Yes VNo ❑ <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? Yesl[/No ❑ Don't Know ❑ <br /> Name: s1`� - Sly✓ <br /> Property address: 39 30 <br /> Phone 1: ,'610 6 � Phone 2: <br /> Email: Cowl <br /> > <br />