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4721 Pebble Beach Way - Inspection Form Residential Sanitary Sewer Service City Eao I Ir Compliance Inspection ' Date Time J(~ ~ o prn Record Number, ~ )dame I t Disk# Time ' O pm f ' PID Number House Number Street Name Alternative Mailing Address Phone Ownerl0ccupont 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 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 refused Sump pump properly piped sewer 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: r? Final Cleanout: e 1 Notes / Number Discharged Total Correctly Incorrectly Unknown, 0 PM Sump pumps) Foundation drains Roof drains White Copy: Ptoperty Owner Yellow Copy: City of Fagan Pink Copy: SEH