Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAIV <br />, Our recoids indicate that a back�vater prevention device must be installed cn your <br />•� • sewer coiinection to comply.v�dh lhe new crdlnance. Please help us verify that our <br />info�mation is correct by answering lhe following questions ahout your property: <br />Do you have a ha'sement7 Yes yC�No ❑ r�,� /y, n p, }�� ! <br />�, .. �� / / i l�G���,.��. <br />If yes, does d have plumbing 6xture (s�nk, toilet,.flobr$ain, etc.)? Yes No '� <br />Do you have a backv�ater valve on your sewer line? Yes. ❑ No ❑ Don't Knou� I� <br />Do you bave a grinder pump in your basement? Yes ❑ No ❑ Don't Know 17� <br />!f <br />Name: V (� � [—�� �'�'��.1 ��� _ <br />Property address: ,��� � 1� r'� � N � f%1` �L _"`—�u �J'r`�= � � <br />Phanel:�Z`7 ,S� i(�-,_. Phone2: ___ <br />Email: <br />'�'_'�i�•1"'�'1 1''�' 'r�r.. . <br />it+�:�4����.i �.��1�,�:1_��;•' �ur�*_��:irc,�'� <br />