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 /> ,/i�YOtit 4i N'� ber 4$l 0 1 <br /> Do you have a basement? Yes ❑ NoN y�q� r►.wttb <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: ' 7C44PI!ne <br /> Property address: '/ m <br /> Phone 1' fit&��hone 2: %AS 3$0a 7 <br /> Email: 1014421110e ea4 ,4 <br /> v a <br />