Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate ihal a backwater preventinn devir.e must be installed on you� <br /> sewer connection to comply with the new ordinanr.e. Plr,ese help us verdy thal ui�r <br /> mlormauon is corred by answenng Ihe lollowing questions aboul your property. <br /> Da you have a basemeM? Yes � No ❑ <br /> If yes, does it h�ve plumbing h�ures(sink, loilel,floor drain,etc l� Yes � No � � <br /> Do you have a backwatcr valve on your sewer hne� Yes �� No � J Don't Know � <br /> Do you havc a gruider pump in your basemon�� Yes � � No �i Don'1 Know (�� <br /> Name �f' 1-Qi_��—l.l Il h.EY'.Sb� <br /> Property:�ddress a3__�� ��Q,� �I <br /> {'hone i "I(�.S Z 5� D o G I f'hone 2 �� S � � 'I V o� S� <br /> Em,�� Lcu� r ��, U hn er'Svr._�� M�uQ ��.-4� <br /> -:.� - 1 -- - �- - -; !��- - - - - -- <br />� ��. .. ;-. . � . ' - . <br /> �_.�F:.. _ __ - .. '!_. � � . . , <br />