Laserfiche WebLink
>r }Sprat .• .. <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate that a backwater preventt6n 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 f ng questions about your property: <br /> Do you have a basement? Yes No ❑ <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes a❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know ;�\ <br /> Do you havea grinder pump in your basement? Yes ❑ No ❑ Don't Know ►� <br /> Name: W/I 111 U .+�© <br /> Property address: 60 q '.1/Ai t414 <br /> Phone 1: 2b ` 1 4,3 7l 1,7 Phone 2: 43k;' J' <br /> Email: <br /> _, ti, ?., 3 e ,. i <br />