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4681 Penkwe Way - Inspection Form Residential Sanitary Sewer Service c1ty or 1! Compliance Inspection Date c 1 Time : • e p pm Record Number arn Name I Disk Time T ~ p pm PID Number ~J House Number - i Street Name Alternative Mailing Address Phone Z ! Ownerl0ccupant Signature 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 t, sanitary sewer feet ,.Q No roof drain connection O Access to service O Service lateral defects lateral needed O Sump pit not connected to O Defective manholes sanitary sewer O Inspection ,K O Sump pump connected to sanitary .0 Sump pump properly piped sewer, refused r A No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S L at Roots. Poor Pipejoints Mineral Deposits SaglPipe Deflection Damaged Pipe s Transition;~~~:.?- c 4" to 6" Transition: Length of Service: f' Final Cleanout:': Notes Number Discharged ~x Total Correctly Incorrectly Unknown f r Sump pumps A' Foundation drains 1t Roof drains White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH