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c` k'. /- <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 /> Do you have a basement? "Yes No C <br /> If yes, does it have plumbing fixtures (sink toilet, floor drain, etc.)? Ye No ❑ <br /> Do you have a backwater valve on your sewer line? Yes; I J No E Dort Know; <br /> Do you have a grinder pump in your basement? Yes I No E Don't Know <br /> Name: Cai ` • '` <br /> „7"---- <br /> Property address: ( <br /> p �Y <br /> 071 <br /> Phone 1• ; '� hone 2: <br /> Email: <br />