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4 k � <br /> BACKWATEF J EVENT1ONiDEVIOE`'PR 41 <br /> Our records indicate that a backwater prevention device must bea stalled 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 INo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yeso ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No 0 Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑ No 'Don't Know ❑ <br /> Name: k <br /> Property address:• Q / if v A'i <br /> Phone 1: JO&-2,,2r --64,e8 Phone 2: <br /> Email: a�Lc. �G H i_I Al VC 0 j wA it(t- COMA <br /> w. ...ate _...�' .� �r.� :'. :, _r� .,Sd�i. <br />