Laserfiche WebLink
BACKWATER PREVENTIQN DEVICE PROGRAM <br /> Our records indicate that a backtvater prevention device must be installed on your <br /> sewer connection to compiy with Ihe new ordinance. Please help us verify that our <br /> information is correct by ansevering the following questions about your property: <br /> Do you have a basement? Yes �i No ❑ <br /> If yes, does it have plumbing fixtures (sink, roilet, floor drain, etc.)? Yes 'M No ❑ <br /> 7r <br /> Do you have a backe✓ater valve on your sewer line? Yes ❑ No�j Don't Know b[� <br /> �/ /� /� <br /> Do you have a grinder pump in yaur basement% Yes � No�M Don't Know ❑ <br /> 7'� <br /> Name- � ���--- -- – <br /> Property address: �� l� � J 1 �(/_L� _l r � �^'� ���D� <br /> Phonel` !c� 2I =SZ� Phone2: <br /> Email: �,.._ �C.�Q 1�,�, t ��� -- — <br /> -��� <br /> t��r. , �, <br /> J�-.~-'=-- -- '- --�-�-�. - ---,._.__._ ' _.. _ -. --'''. --.!_._. � . �� <br /> L� <br />