4679 Cambridge Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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411111. City pi F,a o
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
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i�[ame C � �/ ` �i 1% � Disk #
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PID Number
House Number
Alternative Mailing Address
Transition L
4" to 6" Transition:
4
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Owner/Occ
Compliance
O No foundation drain connection
No roof drain connection
s Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
/1
• am
Time • pm
Street Name
Service Lateral Inspection Findings
vature�
2
For information call 651.470.2788
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
Number of stacks . 1 Entered 5. L.at — --
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
".J iu� 7 i1
Length of Service: - r . Final Cleanout
Number Discharged
Total
Correctly
Incorrectly
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Record Number 1
l
Phone /� -i
Unknown
Time • p pm
Inspector Signature
Obstruction
Unable to push past
feet
1
Notes
e
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Yellow Copy: City of Eagan Pink Copy: SEH