Laserfiche WebLink
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 k No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No WI <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know [N <br /> Do you havea grinder pump in your basement? Yes ❑ No N. Don't Know ❑ <br /> Name: C//1f't5/—;/Ict l.v((-4-1 S <br /> Property address: 3- (IC ii-o y_t 4Lie-- <br /> Phone 1: -1 t •aR ,F 7 Phone 2: <br /> Email: Of R Z-SrrNi A L.tr a 6 A/ L <br /> �� � TfK SM -: I_.�;� ,.;, <br />