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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 No ❑` <br /> If yes,does it have plumbing fixtures (sink, toilet,floor drain, etc.)? Yes X <br /> 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 [-] Na Don't Know ❑ <br /> — <br /> Name: - s �' 1°1! r ' t1 rn . <br /> Property address: L CL)nU–r <br /> Phone 1: + "7 Phone 2: <br /> Email: f , 'iC,0 MC61 <br /> E <br />