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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 RE'1)0 ❑ <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 Ig <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know ,vd <br /> '64 Name: 14 e.- t) 5.a <br /> Property address: /' 47 ` <br /> Phone 1: ' } -- C'- — ;)..5-51-1 Phone 2: ---- <br /> Email: <br /> --- -Email: <br />