1709 16TH ST 2022-05-31 - Laserfiche WebLink

•`BACKWATER PREVENTION DEVICE PROGRAM Our records indicate that a backwater prevention device must be installed on your sewer connection to comply with the new ordinance. Please help us verify that our information is correct by answering the following questions about your property: Do you have a basement? Yes, No ❑ ,j If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes j�J No ❑ Do you have a backwater valve on your sewer line? Yes ❑ No �] Don't/` Know ❑ Do you have a grinder pump in your basement? basement? Yes ❑ No- D�o`n't Know ❑ Name: ef,c44&_eil /`1 /t �/r 1�� Property address: �7 �p S1 C.--V�4�vl' 1�j,�- ��J/ P y / /0 / g„, v r' ' Phone 1:l,4.c,ict-0---1228.- Phone 2: A/A Email: pry" tan 6J `.— 644a"` / 6041 r i;