Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indica�e that a back�•+aler prevention device rnust be inslalled on the sewer <br /> conneclion at the address identified on the enclosed letter. Please help us verify that our <br /> iniormation is correct by answering the following questions about your property: <br /> Do you have a basement? Yes�No ❑ <br /> If yes, does it have plun�bing fixtures (smk, toilet, floor drain,etc.)? Yes � No ❑ <br /> Do you have a back�.vater valve on your sewer line? Yes ❑ No � Don't Know ❑ <br /> Do you have a grinder pump in your b�se.^�er�t? Yes � I No �Don't Know ❑ <br /> _�f <br /> Name: VQl�v�__ — - <br /> Property address: ��O J `"���j_, S T �?✓z � GJ�- . 9��� <br /> Phone 1: ��s���—_ �y �� F'hone 2: _ <br /> Email: <br /> � . .4. i... � - . <br /> F-y� ''�."�4� . <br /> _ � � n �. � i i 1 �' S . 1 . <br /> . �y"''�' � � T ... ___1� L�.It..l�.l. � . . .._.� I � " .__ ..�. ..__.r� <br /> I <br />