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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 Kj No ❑ <br /> jr <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 m No ❑ Don't Know ❑ <br /> Name: <br /> r Property address: : <br /> Phone 1: to Phone 2: <br /> € Email: Iiiiag4V je Ift-Q r• 4e.& i' <br /> MEL <br /> 3 <br /> n <br />