4634 Penkwe Way - Inspection FormCity of tap
Residential Sanitary Sewer Service
Compliance inspection
Date e7...3 091
Name ile 0
r a7
PID Number
House Number C: J
rtr • .0 am
Time ✓. • 0 pm
Disk #
Owner /Occupant Signature
Street Name /4-7-we
Alternative Mailing Address Phone (/22) to 2(7 -" -V74 -
For information call 651.470.2788
Compliance
0 No foundation drain connection
I No roof drain connection
X Sump pit not connected to
sanitary sewer
Surnp pump properly piped
No sump pump
M
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Non - Compliance
O Clear water connections to
sanitary sewer.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ( 1� "
Yellow Copy: City of Eagan
Record Number fp'
rid Time
Obstruction
Unable to push past
feet.
• _ j
•
inspector Signature
am
0 pm
No Access
O No one in
Number of stacks I Entered S.L.at J 7 -
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout: �r�
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes t v , iL, viv c' anj ' .1 "? _TV , S°
E 1 ,- j .. , 'f { ( t 5 - / ca j;,� e -
Total
Sump pumps
Ea
Foundation drains
Roof drains
City of tap
Residential Sanitary Sewer Service
Compliance inspection
Date e7...3 091
Name ile 0
r a7
PID Number
House Number C: J
rtr • .0 am
Time ✓. • 0 pm
Disk #
Owner /Occupant Signature
Street Name /4-7-we
Alternative Mailing Address Phone (/22) to 2(7 -" -V74 -
For information call 651.470.2788
Compliance
0 No foundation drain connection
I No roof drain connection
X Sump pit not connected to
sanitary sewer
Surnp pump properly piped
No sump pump
M
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Non - Compliance
O Clear water connections to
sanitary sewer.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ( 1� "
Yellow Copy: City of Eagan
Record Number fp'
rid Time
Obstruction
Unable to push past
feet.
• _ j
•
inspector Signature
am
0 pm
No Access
O No one in
Number of stacks I Entered S.L.at J 7 -
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout: �r�
Pink Copy: SEH