Laserfiche WebLink
f <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater prevention device must be installed on the sewer <br /> connection at the address identified on the 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 ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes A No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No)4 Don't Know ❑ <br /> Do you have a grinder pump in your�j basement? Yes ❑ No lx Don't Know <br /> /+:d ❑ <br /> Name: J a rrO f± T` <br /> Property address: / 3 Of G /. 'KR 14 <br /> Phone 1: 7 931 2. 2, 1 43 Phone 2: <br /> Email: dh en4 /p1;',1 e 4 i/ E'_.vvr1 <br /> • _ .F. 3-a.R €, Y,_3 <br />