Laserfiche WebLink
... - BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicale tha[ a backwater prevention d�:vice must he installed on your <br />sewer conneclion lo comply wilh the new ordmarice. Please help us verify tfiat our <br />•- information is correct by anstvering t foliowing questions about your property: <br />Do you have a basemenl? Yes �o ❑ <br />If yes, does it have plumbing fiztures (sink, loiiet, floo� drain; etc:)7 Yes �o ❑ <br />� <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 basemenl? Yes ❑ No Don't Know ❑ <br />� �_� . <br />Name: <br />Property address' _ <br />�o r5e�l�. <br />3 � � c�►c,� � <br />Phone 7 �,,,,`� ' �� `��o,�Phone 2: <br />[mail�. �L'l '�(�i� ` . �C.r//�✓i�.�"."'l� ' �' �/l� <br />fa.�s��.�.i,i� ;.�j:�l��`�`��:;��;,_::u,�r�"�., <br />