Laserfiche WebLink
x A <br /> A `KWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: an E((, /, <br /> Property address: 1,b U 1prav-A <br /> Phone 1: l vC .3;/ d 1 Q) Phone 2: ('l 2.c V 741 `q-2 6 <br /> Email: e o1— 6. U V- <br />