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1367 St Andrew Blvd - Inspection Form Residential Sanitary Sewer Service . 4-0. cit, I. E Compliance Inspection am ~ Date' Time pm Record Number -M] 0 0 am pi ' Time P. Name r J / / Disk# PID Number House Number Street Name " Alternative Mailing Address phone f~ 1: r f._ r-~ _f T OwnerlOccupont Signature Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access V No foundation drain connection O Clear water connections to Unable to push past O No one in AI sanitary sewer feet. 9 No roof drain connection O Access to service XV O Service lateral defects lateral needed k? Sump pit not connected to O Defective manholes f sanitary sewer O Inspection O Sump pump connected to sanitary refused O Sump pump properly piped sewer O No sump pump O Flexible sump pump piping r Service Lateral Inspection Findings Number of stacks Entered S,L,at --<-4 - Roots Poor-Pipe joints Mineral Deposits Sag/Pipe Deflection _ Damaged Pipe Transition 4" to 6"Transition: Length of Service: _.~Z, Final Cleanout: Number Discharged Notes Total Correctly Incorrectly Unknown IIA Z' 1 Sump pumps Vii= r S , f f r^ l j~ ~ ] Foundation drains -,t 1 Roof drains V IMte Copy: Property OwnCr Yellow Copy: City of Eagan Pink Copy: SEH