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1477 Wellington Way - Inspection Form *"'City Residential Sanitary Sewer Service I It Compliance Inspection O am J Date 1 ? l~i ; .i Time a Pm, Record Number i s fi a0 am Name_ i=Disk # 3 ! ~I Time f t pm PID Number House Number L-4- =Street Name /~.r~!~~ _ / ~✓r' Phone Alternative Mailing Address Owner/Occupa t Signature Inspector Signature . 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 No roof drain connection sanitary sewer feet O Access to service r O Service lateral defects lateral needed A Sump pit not connected to O Defective manholes sanitary sewer O Inspection O Sump pump connected to sanitary refused Sump pump properly piped sewer O No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks s Entered S.L at ` Roots t Poor Pipejoints _ - Mineral Deposits Sag/Pipe Deflection _ Damaged Pipe Transition - - r 4" to b"Transition: Length of Service: ~a- Final Cleanout: Notes r~ : ,v} Number Discharged Total Correctly Incorrectly Unknown Sump pumps Foundation drains r Roof drains White Copy: Propeity Owner Yellow Copy: City of Eagan Pink Copy: SEH