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 X No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes ❑ No X <br /> Do you have a backwater valve on your sewer line? Yes ❑ No X Don't Know ❑ <br /> Do you have a grinder pump in your basement? Yes ❑,No tIgi Don't Know ❑ <br /> Name: `J()ielcf(Atti°�1 /C�Utd- <br /> <Property address: 8 L '✓ Suc/i,i(y /1-1/' , <br /> Phone 1: 303-S l3 -2i&Y Phone 2: 3c 3 —6-6 _'75--fi <br /> Email: UadJ o C a/2 ,-a eet (/ <br />