Laserfiche WebLink
yr <br /> his <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 "lo ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes [ -M ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know [vY� <br /> Do you have a grinder/Qpump in your basement? Yes <br /> Yes ❑ No ❑ Don't Know []-- <br /> Name: Claude 1? it 14- <br /> Property address: `j m6 t,4/y i f �t <br /> Phone 1: 11 5" _33 7.95,( Phone 2: <br /> Email: j.///+1l2 S?? ® rr.�(,,� . <br />