Laserfiche WebLink
Uvtottaff/Lard once l tO2 nU-.. ft14- <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 rie ot'dtnance. Please help us verify that our <br /> information is correct by answering the,QUowing questions about your property: <br /> Do you have a basement? Yes jrNo ❑, . <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes fieNo ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know Trill <br /> Do you have a grinder pump in your basement? Yes ❑ No INK;on't Know ❑ <br /> Name: PA ti EAwa45- <br /> Property address: 3 V 1 674-4 AL Avk <br /> Phone 1: 1 - D__S�' 4'� ( Phon/e2: 41 13 7cii.+3L a <br /> Email: ? " •Wjji•N+ S 3K?,( • <br /> � ' • GGw1 <br /> � ::�i?.;u: .�`.,.7, .. x csi . : . 2e f _i. <br />