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1567 Sherwood Way - Inspection Form 1 `e Residential Sewer Service Compliance Inspection Date_ E1 /_4J) - Time - , e-_ O pm Record Number O am Name -`r Disk # Time O pm PID Number Street Name V- House NumberT 4-Alternative Mailing Address Phone s'E OwnerlOccupant Signature lnspdd or Signature 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 No one in O No roof drain connection sanitary sewer _feet O Access to service 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 Service Lateral Inspection Findings Number of stacks Entered S. L. at Roots - PoorPipeJoints _ Mineral Deposits Sag/Pipe Deflection Damaged Pipe _ Transition 4" to 6"Transition: Length of Service: Final Cleanout: Notes • Number Total Correctly Incorrectly Unknown 2~r Sump pumps Foundation drains T - Roof drains = 1 • i I ~J White Copy: Property Owner Yellow Copy: Ciry of Eagan Pink Copy: SEH