Laserfiche WebLink
M1- <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 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` 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 X <br /> Do you have a grinder pump in your basement? Yes ❑ NoX Don't Know ❑ <br /> Name: � � L . 70Gk WE-Le-- <br /> Property address: ' 3(O2 1-.o i B42 d AV t <br /> Phone 1:(475)3 -3- 333- Phone 2: (Work.#)(4,„45)46c2 9/ <br /> Email: K1TxkWi?J1 1 JkxtAl°iwa,.joy <br />