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4750 Cypress Pt - Inspection Form Residential Service. city kr I+i Compliance Inspection Date r ! Time 1 pm Record Number, ! ~o am t } p8°~ Name ) / 1' Disk# Time PM PID Number, House Number 4-- 7 E Street Name Alternative NlailingAddress Phone [:~~ant Signature f - Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access ~0 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 Sump pit not connected to 0 Defective manholes sanitary sewer O Inspection V O Sump pump connected to sanitary refused ZC+ Sump pump properly piped sewer O No sump pump O Flexible sump pump pipin`g- Service Lateral Inspection Findings Number- of stacks f Entered S I~ at Roots Poor Pipe joints - Mineral De-osits i1 - - Sag/P Damaged Pipe - Transition 64 4" to 6"Transition: Length of Service:,, _e-Final Cleanout: Notes r 12 -~r 7611 fTo al Correctly Incorrectly Unknown t L, 7, Sump pumps Foundation drains Roof drains White Copy- Property Owner Yellow Copy: City of Pagan Pink Copy: SFH