Laserfiche WebLink
J <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on your <br /> sewer connection to comply with the new ordinance. 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 ❑ <br /> If yes,does it have plumbing fix ures(sink,toilet,floor drain,etc.)? 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 yIN Don't Know ❑ <br /> Name: <br /> Property address: lit-1 (...1,7 <br /> kJ2 elk e 44- 01� <br /> Phone 1: `1�� —1(e i✓ -1S J 21 Phone 2: <br /> r ` � <br /> Email: �V+tcL�v�� a tCucSTa �otc�c�, care <br /> r � <br />