Laserfiche WebLink
BACKWATER PREVENTION DEVICE PROGRAM <br /> brt cords indicate that a backwater prevention device must be installed on your <br /> seek connection to comply with the new ordinance.Please help us verify that our <br /> infbtfnation 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,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 ❑ Don't Know <br /> Name: (7;t-- f la il D I V <br /> Property address: �� 2 C Q,"t1 AVC- <br /> Phone 1: �Z5-`^ 7—S2 14'�� Phone 2: <br /> Email: IN c�t�� t 1. =-F7�+^_ <br />