1815 BROADWAY 2016-09-13 - Laserfiche WebLink

• BACKWATER PREVENTION DEVICE PROGRAM • Our records indicate that a backwater prevention device must be installed on the sewer connection at the address identified on the enclosed letter.Please help us verify that our information is correct by answering the following questions about your property: Do you have a basement? Yes 'No ❑ If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes No ❑ Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know i Do you have a grinder pump in you;p3i,Igment? Yes ❑ No ❑ Don't Know is Name: /"///ICk„ jeep, ah'J rn/ -L(i6eG"74f d /°it A-0/ Property address: `8/u—ZejiVrite.49rn(J6,7:6 , fir(// ..7f.4%ai/ Phone 1: iFi2—/8/.3"" Phone 2: Email: Ai /6'5 �✓fr/CO CO/✓, r h-�_> .�:_� s�_ ..a ., _ _ t lad i._, ..,� t a.