Laserfiche WebLink
BACKWATIERMVENTION DEVICE PROGRAM <br /> 8 SE , a:; <br /> Our records ipgqatg,tf at a backwater preyehyr device must be installed on the sewer <br /> connection aft d?fdr ss identified on th?enclosed letter. Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes ❑ No A, � kaut 1044414"4u <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes I7i'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 L 'Don't Know ❑ <br /> Name: L4 // i 1A-t o <br /> Property address: 36 �-�V` / "0 a_ci d <br /> Phone 1: 36-C. 3 8 7 -)6.1-.7 Phone 2: 4/0? - O , 0 '3-03 0 <br /> Email: 5 LL..//d ,) 7 i y f?,-f t' A_.- <br /> . =oS' Y., xF Ait3- - <br />