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 '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 LI No ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Know <br /> Name: { 1� QcM p:AMV1.9? <br /> '�".("'� co <br /> TQ Y Pa- a m gSeli fe <br /> Property address: -3��► G `EV-a-VA '1g213 1 <br /> Phone 1: u 2•5 33- 1 ne 2: <br /> Email: taut i e GLIM Q N1 2.1i a ✓.!►e .\ , C <br /> ' -----.. ... ..----n.7.17m-kf,-,i.-1.-7,7 <br /> , ?t,-,,,:,,,I,•,,:-.,,:,,-- <br /> its <br /> __. , ex;=�." _ a e ,- ,' z...�',,ii. ,..e.:.:.r.,, .i:.— .W; .. _ .-fit ���.-.,' „ Li .1'. <br />