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 ,Zr 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 g <br /> Do you have a grinder pump in your basement? Yes ❑ No,Z9 Don't Know ❑ <br /> TA so Yl g ✓"4 w <br /> Name: <br /> Property address: G oAke5 A-V e <br /> Phone 1: Z 5-g71-g'5 S(o Phone 2: �� /g7 -`. _s-Ll <br /> Email: I N q✓A-vvt $9 E l-IIT04 4/ , [0 V''\ <br />