Laserfiche WebLink
BACKUUATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwaler prevention device must be inslalled on your <br /> sewe�connection to comply with ihe new ordinance. Please help us verify lhat our <br /> inforrnation.is correcl by answering lhe(ollowing questions aboul your property: <br /> Do you have a basemenl? Yes �g No ❑ <br /> 7 ` <br /> I(yes, does it have plumbing fxtures (sink, toilet, floor drain, etc)? Yes`�[No n <br /> / ` <br /> Do you have a backwater valve on your sewer line7 Yes ❑ No Q Don't Know <br /> Do you have a grinder pump in your basemenl? Yes � No ❑ Don't Know� � '�� <br /> Name: I 1 � � �� X <br /> �.�_l/�-(�i---J--�-�s�-'�'�— CL �V <br /> Property address: 1 0 / � ���� �} ��- <br /> Phone 1 t�.��j�Q���Q. p_ Phone 2: ���i�_�=J��}�� <br /> i J' <br /> E�„a�e _G�-C1..V__;_C) �i (.5�-_�:n-r�.��laac.l�-�_: C_Q��— <br /> C� --- - - --��.li�f��2.�•1��I�����e;4.l.l�f'�F������''�Jri�l:-'�'��:iliit.�:.T��ea� <br />