1594 Sherwood Way - Inspection Form 2
Residential Sanitary Sewer Service
I IE Compliance Inspection
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Time pm Record Number
Date_.._I=~_._I
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! a Time •
Disk QM
Name -7<
PID Number
/ 4` Street Name ✓"7 ..~rF . j ,F ~ ;
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House Number q - -
Phone ! d
Alternative Mailing Address
OwnerlOccupont Signature r Inspector Sfgnature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
sanitary sewer, ~feet X Access to service
O No roof drain connection O Service lateral defects
lateral needed
O Sump pit not connected to O Defective manholes
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
Entered S L.at
Service Lateral Inspection Findings Number, of stacks
Roots -
.La_-! 33 ~ `~_.t"~!"`~ ~i ~ ~~i~, r%) l ~`f ~ Jr J 1 ~ ~ {
3
Poor, F !Rejooi t5
Mineral eposits=~ i . -
Sag IB e Deflection ' .
i
P ' . a
Damaged Pipe
Transition=-
4" to 6"Transition: Length of Service: Final Cleanout:
Notes
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Total Correctly Incorrectly Unknown'- f
Sump pumps
Foundation drains
Roof drains.,. C r
White Copy: Property Owner Yellow Copy: City of Fagan Piuk Copy: SEH