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BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater-prevention device must be installed on your <br /> :. <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 /> e:, <br /> Do you have a basement?`Yes No 0 <br /> If yes,does ithave plumbing fixtures toilet, or Ora ,etc.)? Yes ❑ No' <br /> Do yoU have a backwater valve on your,sewer line? es 0 No❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No PA Don't Know ❑ <br /> Name Y r` <br /> Property address; gi; Z1 <br /> Phone 1: °` w1 Phone 2 <br /> Email:. <br />