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� <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> f 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 /> u" Do you have a basement? Yes o ❑ <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: <br /> Property address: <br /> Phone 1: Phone 2: <br /> Email: <br /> - - <br />