4854 Sheffield Lane - Inspection Form
Residential
City I W Compliance Inspection
Date> ' Time F? : pm Record Number R
0 am
. , .>'~1 J c ~isk # % f' } Time
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Narne 112
PID Number
IL~
House Number , ,`_Street Name
Alternative Mailing Address Phone f = _ ! yl m c"%.~
- Owner/Occup, r~'t Signature Inspector 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
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
Q Sump pump properly piped sewer'
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _ Entered S L at r }
Roots -
Poor PipeJoints -
Mineral Deposits-
--Sag/Pipe Deflection
Damaged Pipe - -
1 _ i J f C:
Transition -
4" to 6" Transition: Length of Service: Final Cleanout:
Notes
Number •
Total Correctly Incorrectly Unknown
f i.
Sump pumps
Foundation drains r
Roof drains
White Copy: Property Owner d Yellow Copy: City of Eorgan Pink Copy: SEH
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