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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 /> 2 + ItA ityer? <br /> Do you have a basement? Yes No ❑ }r s <br /> If yes,does it have plumbing fixtures jsink,toilet,floor drain,etc;)? Yes ❑ No Ki <br /> Do you have a backwater valve on your sewer line? Yes ❑ No 0 Don't Know D <br /> Do you have a grinder pump,in your basement? Yes ❑ No'❑ Don't Know VT <br /> Name �` �.+ir <br /> Property address: <br /> Phone 1c' lig Phone 2 <br /> Email: <br /> s� v <br />