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4603 Penkwe Way - Inspection Form Residential Sanitary Sewer Service 41' City of ir Compliance Inspection Date. > 1 t' 1 ! Time pm Record Number Name i f .i 1~,Disk# Time Pm PID Number House Number Street Name Alternative Mailing Address ~T, Phone T' wnerlOccupant *ature Inspector 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 O No one in .Q No roof drain connection sanitary sewer feet O Access to service O Service lateral defects lateral needed 0 Sump pit not connected to O Defective manholes sanitary sewer O Inspection O Sump pump connected to sanitary O Sump pump properly piped sewer, refused O No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number' of stacks! _ Entered S,L. at Roots _ Poor-Pipejoints Mineral Deposits Sag/Pipe Deflection Damaged Pipe Transition 4" to 6"Transition: Length of Service: Final Clean out: Notes. Number Discharged Total Correctly Incorrectly Unknown y i'/ ! c ^"ff'' Sump pumps f Foundation drains _ Roof drains White Copy: Property Owner Yellow Copy: Ciry of Pagan ' _ Pink Copy: SEH