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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