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1380 Grace Dr - Inspection FormSump pumps Foundation drains Roof drains .city or Ea pa Residential Sanitary Sewer Service Compliance Inspection Date Name House Number Roots Poor Pipejoints Mineral Deposits 273/ 4" to 6" Transition: PIE) Number Alternative fling Address Sump pit not connected to sanitary sewer % V . Sump pump properly piped 0 No sump pump White Copy: Property Owner " ' y am • 3( am Time / • _— V Pm r Disk # /) Street Name Owner /Occupant Signature Compliance 0 No foundation drain connection No roof drain connection Service Lateral Inspection Findings Total Correctly Sag /Pipe Deflection Damaged Pipe Transition (9 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: -.t Number Discharged Incorrectly Unknown ,4 Phone J Record Number L' L Time • f o pm Obstruction Unable to push past feet 2 Inspect'o'r Signature For information call 651.470.2788 Final Cleanout: -- No Access O No one in O Access to service lateral needed O Inspection refused Number of stacks Entered S L at 'f`� /F = �s N otes f J•._ /l g .. t r . S" ;;_ �2 � �' " , � i ) =.. /a Li r �y i Yellow Copy: City of Eagan Pink Copy: SEH eta 1