Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAM <br />Our records indicate that a backwaler prevention device musl be inslalled on your <br />sevaer connection to comply with the new ordinance. Please help us verify thal our <br />information is correcl by answering �he Follov�ing qu2stions about your property. <br />Do you have a basemenl? Yes� No ❑ <br />If yes, does it hava plumbing fix ures (sink, toilet, floor drain, etc.)7 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 />Na�r.=' / �-�-_1�' \ �c'J�1 \ <br />Property address: _��(,J=� � � J ' <br />� Phone 1 �S �� `� � ��Fhone 2: _ <br />[mail 1/- \1"S� 1w���O� ��' 11'��- <br />- � �— � ' t �� <br />, �� ' <br />- . . . . . - '. i . ;.� 1 . i . �'t , . � � � ' 1 � . <br />_l _ i . _ ' _i_'_'� "_'"CJ.'_L .. ..__ . 1 _ _✓ L 1.`J _._I..:� � . <br />