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3793 South Hills Cir - Inspection Form Residential Sanitary Sewer Service 01~ City I p Compliance Inspection Date ? Time p pm Record Number W I~€ame J/~` =Disk n Time m PID Number House Number, Street Name Alternative Mailing Address Phone j _ ( 7i1 1_ OwnerlOccupont Signature Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access No foundation drain connection O Clear, water- connections to Unable to push past O No one in D 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, ;Q No sump pump O Flexible sump pump piping I A-- Service Lateral Inspection Findings Number of stacl<s_ ~ Entered S L at Roots Poor Pipejoints _ Mineral Deposit Sag/Pipe Deflection Damaged Pipe _ Transition a 4" to 6"Transition: Length of Service: _ Final Cleanout: Notes Number Discharged . Total Correctly Incorrectly Unknown Sump pumps ' Foundation drains Roof drains White Copy: Property OFn1ei Yellow Copy: City of Pagan Pink Copy: SEH