Laserfiche WebLink
✓ <br /> BACKWATER PREVENTION DEVICE PROGRAIA <br /> Our records indicate that a backv�ater prevention device must be inslalled on the sewer <br /> connection al the address identi(ied on the enclosed letter. Please help us verfy that our <br /> infortnation is correct by answering the following questions about your property <br /> Do yc� have a basement7 Yes [I� No ❑ <br /> If yes, does ii have plumbing (ixWres (sink, toilet, floor drain, etc )7 Yes � No [I <br /> Do you have a backv�ater vah�e on your sewer line? Yes ❑ No ❑ Don't Know �(1 <br /> Do you have a grinder pump in your basement? Yes ❑ No ❑ Don't Kno�v f� <br /> Name w�'H �� l'PS�QC� LL � � ��t/� J Ga1�� <br /> Propertyaddress: ��u �J�� `�� <br /> Phone 1: �b'aab' 7��j Phone 2 __ <br /> Email: �j �NCS �� (.1W, Pw��( _ _ <br /> , J, ' if�. ' . . <br /> _-_._....._-- .� 1 } � ' � .�.'� ,1�:!� h 111 �: • , <br /> -_ . .�__��<<.i ti►��F_.� _ .,:�___.. �, . ---��... .. �:!..:.'.:_.e� <br />