Laserfiche WebLink
BACKWATER PREVENTtOPJ DEVICE PROGRAM <br /> Our records indicale lhat a backwater prevention device must 6e installed on your <br /> sewer connection to cc.,:ipty tvilh the new ordinance. Please help us verify ihat our <br /> iniormalion is correct by answering lhe following questions about your property: <br /> Do you have a basemenl? Yes'� No ❑ <br /> Ii 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 /> /� <br /> Name: J`1(ti! � ��Ow��e` <br /> Property address: I�Z- D '`O�+M`�t'I.I f� �VC __ <br /> Cl ;j' '. <br /> � Phone 1: /ZS ".�yS'370) 'Phone2� <br /> Email /��exCY-CrdWL��( ���'lT/�'tit.'• ('CM <br /> - ..f , .;j . —` _.r r,.i�� � ,. ,�. � n�i . . j <br /> ���- ..`�"��.. �.) .. _._�d � ...!_.'. . . I, ._ .� _._. � _ . ...�_!.�..�_�., <br />