4689 Penkwe Way -Inspection Form
~1~.Pty Residential. Sanitary Sewer Service
I r ! . -
0 6-10 am
Date;_ Time 'L Record Number
Name Je I J ~1 ~ ff-~ V Disk # Time. f ~O m
PiD Number
House Number Street Name
Alternative Mailing Address Phone -
OwnerlOccupant Si ature r fnspector 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
No roof drain connection sanitary sewer, feet O Access to service
O Service lateral defects lateral needed
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
1
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor Pipe Joints _
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
711
Transition_ ;J
4" to 6" Transition: Length of Service: ,r- Final Cleanout:
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains'
Roof drains'
White Copy: Property OwneI Yellow Copy: City of Eagan Pink Copy: SEH