Laserfiche WebLink
' , .. . . . . .. — . ," y _ j1' i�/ <br /> ... . , �,5�� <br /> �" 'BACKWATER PREVENTIOK.DE1l.�E PROGRAM <br /> . �,. <br /> . , ; , <br /> Our tecords indicate that a backv�at�r prever4tton�device must be installed on your <br /> sewer connection to comply viith the new ordmance. Please help us verify lhat our <br /> information is correcl by answenng ihe oilo�ving questions about your property: <br /> / <br /> Do you have a basement? Yes �l] No � , <br /> If yes, does il have plumbing (ixlures (sink, toilet, (loor drain, elc.)� Yes �o ❑ <br /> // <br /> �o you have a backwater valve on your se�ver line9 Yes ❑ No ❑ Don't Know (7� <br /> Do you have a rinder pump in your baserr�e+nt? Yes [� Nu�on't Know ❑ <br /> N � y' J�//-" /1 <br /> Namc: �I(� ^/`� �I . / <br /> Properiy address �� C�C�' / __ <br /> r _ � <br /> .��(lPhone 1: ��'y, ) � .�0 7 1 <br /> Err ail' <br /> � J ... .�.,,pr`�� . '�� ,�.r. . . <br /> Q ___— '_'_ t�:il�J7.C�iVY9�fln.`Il��l.i!{����(X._�J.11.�:1 yl�:�tl.�d 4t <br />