Laserfiche WebLink
i <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records mditate that a back�vater prevenLon device must be installed on yow <br /> serrer connedion to comply e:ilh the new ordinance. Please help us ven(y ihat our <br /> mformation is wrrecl by answerino the fo�lo�ving quesiions about your propeity <br /> Do you have a basernenl? Yes �1 No ❑ <br /> If yes: does it have plumuing fixtures (sink, tollet, Ooor drain. eic )? Yes � No [i <br /> Do you have a backwater vatve on your sewer line? Yes ❑ �'o ❑ Oon't Know e- � <br /> Do you have a gnnder pump in youi basement? Yes LJ No 0 Don't Know ❑ I <br /> Name ��� nc)V �.Jn� i <br /> Property address: � I � � � � \ •J� _I' }� I <br /> Phone 1: ��o���Z--�' � Phone 2: <br /> Email: ��'L--, n L'�OC��It� 11� Gl�`�" . ���� <br /> — -� , .. �I.I IJi � d17��a,P� .•.. <br /> ! I� � <br /> :tl�itilN`��B.T�I�:L:i�m:�.���{� �������t.1��^_��;.iL'ittilid.N.� � <br /> I <br /> .. __ _... — -- - -- - I <br />