Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a back�valer prevention device musl be installed on lhe se�ver <br /> connection at Ihe address iden6hed on �he enclosed letter. Please help us veriP� thaf our <br /> information is correct by ansv.�enng �he following q�est�ons about your property <br /> Do you have a basement? Yes dNo ❑ / <br /> If yes, does it have plumbing tixtures(sink, toilet, floor drain, etc )� Yes [✓j No ❑ <br /> Do you have a bar.��vater valve on yvu: se:•:c�iine7 Yes ❑ No � Don't Know i�� <br /> , Do you have a grinder pump in your basemenl? Yes ❑ iJo ',j r pon't Knov+ ❑ <br /> i <br /> Name' .�(�,1v" ck, �—�—�1 L'� <br /> J J— <br /> Property address: _�Z���� 4} S` f?� �'�'t'r <br /> I—= <br /> Phone 1' ���1' �-4 �� �_ Phonc 7you `-- 233. j"S'3�i <br /> : f 1 f <br /> Email: _(��v�:QQ_S,�L'll,4t'i�' � � �7%9�iEi�l. GG�!�— — -- <br /> {Jn�.— ���`Ili��lt __ /��•�I 1 � � . i <br /> � ld�����.�1_'rld'��:�{I;�✓li+�� � 1,! ..�rl:�'�.lit F.�� <br /> � <br /> _» <br /> -, �"" .i <br /> � . <br /> � � -- .. ... �s,, .... +-:,. � - � . . :: a <br /> :�' <br /> !' <br /> . . -..e.—.ri,.�v..—.>.-n r. : . ...:..�._ �� .. . . .� <br />