Laserfiche WebLink
- , <br /> . , ;:. ,/ <br /> �QCKWATER PREVENTION :DEVIGE PROGRAM <br /> ��. '. <br /> Our Jecords indicate ihat a backwater p�evp�nlinn device must be installed on you� <br /> sewer connection to comply wdh the new ordinance Please hetp us venly that our <br /> mformation is correcl by answering the (ollowing questions aboul your property <br /> Do you have a basement� Ves ��No � <br /> i <br /> If yes, does it have plumbing flxtures (sink, todet. Iloor drain, e'c )� Yes� No ' <br /> Do you have a backwater valve on your sewer line� Yes ❑ No �_ j Don't Kno� <br /> Do you havc a grinder pump in ynur basement� Yes ❑ No rJ Don l KnovJ,X! <br /> Name _ .J�1.U111�S-� i--=���15V\�����/ - .— C <br /> .; / (1 <br /> Property address. 25�`7 _( ��._C( L�1' l,����� _ <br /> C� I ) � , I'1 '7Cc ; � <br /> Phone 1 ����'7_ � _.L ,U� �J Phone 2 LLC.�.�'7�1 _1_G(j �} <br /> r�� � ( r I ) r <br /> Em�it ����c_ � v ��1 � � ' L<-.--�-' -� C1l:. 1/ nJ- � Ci�� <br /> �_ � _ ..-�.-.- . _ ... <br /> - - ----- � - -_. - ----- �--- ----- - -.- --- <br /> 'T <br /> ' ' �� I � � �� � , '�'I• I � � <br /> -.� ,. --- - <br /> - -• - - i _ � � ,il � ii � ' � • _ .. .. � ' �-! <br /> . ' �. .J •J . . f� �� . . ._..J . <br />