1628 COLBY AVE 2022-04-13 - Laserfiche WebLink

BACKWATER PREVENTION DEVICE PROGRAM Our records indicate that a backwater prevenlion device must be instalied on your sewer connection to comply with the new ordinance. Please help us verify that our information is correct by answering the following questions aboul your nroperty: Do you have a basement? Yes�No ❑ I(yes, does it have plumbing fixtures (sink, toilet, floor drain, etc.)? Yes � No ❑ Do you have a backwater valve on your sewer line� Yes ❑ �Jo ❑ Don't Know � Do you have a grinder pump in your basement? Yes ❑ Nc �,Don't Kn�w ❑ Name: �QJ1� �' 6�n1 L��t� Property address: ��0 0� C��v`� �� ' Phone 1: ��a�'rJ�$g O1 Phone 2: `�100 ��OL— O'a-Z3 Email�. ��1�1 IrC��, "iJ@ ��17•� ��L-�C-��_ , •n . '�'•��_tas,a :J�. ._. .. . ._ .: { 'ta'. � ,....:,I...;t.. �,Y