Laserfiche WebLink
4 <br /> P. <br /> BACKWATER'PREVENTION DEVICE PROGRAM <br />• All c,in's tAxivdes are wett Jove 4L4 Mt4 covers ;K kL <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 X <br /> If yes,does it have plumbing fixtures(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 xi Don't Know ❑ <br /> Name:RO I G..C.h. <br /> Property address: 232_(0 G cameAve.A✓ . <br /> Phone 1: 1 308- SOt 1I Phone 2: 72•74/5 • f 7G1.4, <br /> Email OJ��R c5Y � 1 V• co W1 <br /> 1,, -7 _, '4.1 € . <br /> Ys.. <br />