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z <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> ` - Our records indicate that a backwater prevention device must be installed on the sewer <br /> `connection at the address identified on the enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property_ <br /> b` Do you have a basement? Yes No ❑ <br /> If yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes Y 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: zth ; eA. 6-b"-64—i- <br /> -27) <br /> Property address: ! 17 , <br /> Phone 1: - r Phone 2: . � , f 'e <br /> E_ Email: e-e~ �-- <br /> �n. <br /> NIL <br />